| D.o.c, Family Practice, S.c. | |
|
6300 Roosevelt Rd Oak Park IL 60304-2303 | |
| (708) 383-6333 | |
| (708) 383-6347 |
| Full Name | D.o.c, Family Practice, S.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6300 Roosevelt Rd, Oak Park, Illinois |
| Authorized Official Name and Position | Crystal Ann Peoples (PRESIDENT) |
| Authorized Official Contact | 7083836333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.o.c, Family Practice, S.c. Po Box 2294 Oak Park IL 60303-2294 Ph: (708) 383-6333 | D.o.c, Family Practice, S.c. 6300 Roosevelt Rd Oak Park IL 60304-2303 Ph: (708) 383-6333 |
| NPI Number | 1861750036 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861750036 | NPI | - | NPPES |
| 1588775696 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036075404 (Illinois) | Primary |
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