| Family Care Partners Inc | |
|
9133 S Stony Island Ave Ste 1 Chicago IL 60617-3512 | |
| (773) 375-3312 | |
| (773) 375-2334 |
| Full Name | Family Care Partners Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9133 S Stony Island Ave Ste 1, Chicago, Illinois |
| Authorized Official Name and Position | Khurram Khan (CEO) |
| Authorized Official Contact | 7733753312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Partners Inc 9133 S Stony Island Ave Ste 1 Chicago IL 60617-3512 Ph: (773) 375-3312 | Family Care Partners Inc 9133 S Stony Island Ave Ste 1 Chicago IL 60617-3512 Ph: (773) 375-3312 |
| NPI Number | 1861795486 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 5395925069 |
|---|---|
| Medicare Enrollment ID | O20110211001005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861795486 | NPI | - | NPPES |
| 1861795486 | Other | IL | PPO/HMO |
| 1861538712 | Medicaid | IL | |
| 1861795486 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ijaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861538712 PECOS PAC ID: 4082645544 Enrollment ID: I20050824000478 |
| Provider Name | Olaide A Avoseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053189621 PECOS PAC ID: 8224480561 Enrollment ID: I20240521002506 |
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