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NPI Code Detail

MEDICARE: FAMILY CARE PARTNERS INC

MEDICARE: FAMILY CARE PARTNERS 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
1261QM1300XMulti-Specialty Clinic/Center
2207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31861795486OTHERILPPO/HMO

General Provider Information

NPI Number : 1861795486
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE PARTNERS INC
Provider Business Mailing Address
First Line : 9133 S STONY ISLAND AVE STE 1
Second Line :
City : CHICAGO
State : IL
Zip : 60617-3512
Country : US
Telephone Number : 773-375-3312
Fax Number : 773-375-2334
Provider Business Practice Location Address
First Line : 9133 S STONY ISLAND AVE STE 1
Second Line :
City : CHICAGO
State : IL
Zip : 60617-3512
Country : US
Telephone Number : 773-375-3312
Fax Number : 773-375-2334
Authorized Official
Title or Position : CEO
Name : MR. KHURRAM KHAN
Credential :
Telephone Number : 773-375-3312
Provider Enumeration Date : 12/21/2010
Last Update Date : 01/09/2025

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Directions to “FAMILY CARE PARTNERS INC ” Practice Location

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