| Family Care Physicians Inc | |
|
4001 W Devon Ave Chicago IL 60646-4523 | |
| (773) 887-6900 | |
| (773) 545-9201 |
| Full Name | Family Care Physicians Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4001 W Devon Ave, Chicago, Illinois |
| Authorized Official Name and Position | Rayeesa Farhath (MANAGING DIRECTOR) |
| Authorized Official Contact | 7738876900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Physicians Inc 5800 S Park Ave Morton Grove IL 60053-3021 Ph: (773) 887-6900 | Family Care Physicians Inc 4001 W Devon Ave Chicago IL 60646-4523 Ph: (773) 887-6900 |
| NPI Number | 1376154088 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 1557780970 |
|---|---|
| Medicare Enrollment ID | O20201002002055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376154088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Rodney H Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316099849 PECOS PAC ID: 9234025727 Enrollment ID: I20040223000782 |
| Provider Name | Zarina Merchant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154376572 PECOS PAC ID: 1052392081 Enrollment ID: I20040526000781 |
| Provider Name | Mohammad A Toor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841289691 PECOS PAC ID: 2264426212 Enrollment ID: I20050628000341 |
| Provider Name | Wayne C Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699828061 PECOS PAC ID: 3971549544 Enrollment ID: I20050705000897 |
| Provider Name | Martin J Szanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629059902 PECOS PAC ID: 8921195223 Enrollment ID: I20071102000556 |
| Provider Name | May Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942838578 PECOS PAC ID: 5496162950 Enrollment ID: I20210329002229 |
| Provider Name | Reena James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962062208 PECOS PAC ID: 8426454851 Enrollment ID: I20210909001507 |
| Provider Name | Cordelia C Okafo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568006195 PECOS PAC ID: 5395142343 Enrollment ID: I20210918000090 |
| Provider Name | Gladys Otito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871216374 PECOS PAC ID: 8224414883 Enrollment ID: I20221005000630 |
| Provider Name | Kiev Anh Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275265944 PECOS PAC ID: 4082086087 Enrollment ID: I20230220001389 |
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