MEDICARE: FAMILY DOC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700117942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY DOC, INC.

Provider Business Mailing Address
First Line	:	7207 S STONY ISLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-2806
Country	:	US
Telephone Number	:	773-940-1612
Fax Number	:	773-940-1567

Provider Business Practice Location Address
First Line	:	7207 S STONY ISLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-2806
Country	:	US
Telephone Number	:	773-940-1612
Fax Number	:	773-940-1567

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADEBAYO ADEL BADEMOSI
Credential	:	M.D
Telephone Number	:	773-940-1612

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	04/29/2013

Similar Medicare Providers

1396595518 — FAMILYDOK URGENT CARE, LLC
Practice Location Address:

7201 S STONY ISLAND AVE
CHICAGO, IL
60649-2806

Practice Phone: 773-639-1335
Practice Fax: 773-940-1567

1043182280 — MIND REVIVAL PSYCH INC
Practice Location Address:

7201 S STONY ISLAND AVE # 7
CHICAGO, IL
60649-2806

Practice Phone: 773-690-5300
Practice Fax: 870-201-4835

1922975622 — ALLISON JULIA LUND
Practice Location Address:

7201 S STONY ISLAND AVE
CHICAGO, IL
60649-2806

Practice Phone: 773-639-1335
Practice Fax:

1811979933 — DR. JACOB S LAKE DDS
Practice Location Address:

2806 W DEVON AVE
CHICAGO, IL
60659-1502

Practice Phone: 773-973-1100
Practice Fax: 773-973-1531

1760450894 — MR. KEVIN JOSEPH FRANKE PH.D.
Practice Location Address:

20 N WACKER DR , SUITE 1931
CHICAGO, IL
60606-2806

Practice Phone: 312-920-1992
Practice Fax: 312-263-2530

1891748174 — DR. JOHN A BRNA MD
Practice Location Address:

860 W BLACKHAWK ST , #2806
CHICAGO, IL
60642-2510

Practice Phone: 847-727-4643
Practice Fax: 847-227-3250

Directions to “FAMILY DOC, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.