| Family Doctors-family Health Care, S.c. | |
|
6201 W Touhy Ave Chicago IL 60646-1100 | |
| (847) 673-5166 | |
| (847) 673-5636 |
| Full Name | Family Doctors-family Health Care, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6201 W Touhy Ave, Chicago, Illinois |
| Authorized Official Name and Position | Abdulmassih Abdulmassih (PRESIDENT) |
| Authorized Official Contact | 8476735166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Doctors-family Health Care, S.c. 6201 W Touhy Ave Chicago IL 60646-1100 Ph: (847) 673-5166 | Family Doctors-family Health Care, S.c. 6201 W Touhy Ave Chicago IL 60646-1100 Ph: (847) 673-5166 |
| NPI Number | 1770671810 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 07/28/2015 |
| Medicare PECOS PAC ID | 0547298218 |
|---|---|
| Medicare Enrollment ID | O20050803000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770671810 | NPI | - | NPPES |
| 336048940 | Medicaid | IL | |
| 0001623791 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036110773 | Medicaid | IL | |
| 036065699 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maria Lourdes G Banaad Omiotek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023085172 PECOS PAC ID: 5092744490 Enrollment ID: I20050805000585 |
| Provider Name | Abdulmassih Abdulmassih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629045778 PECOS PAC ID: 7416985197 Enrollment ID: I20060330000372 |
| Provider Name | Jagruti R Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023245446 PECOS PAC ID: 8325220833 Enrollment ID: I20110304000274 |
| Provider Name | Nancy B Zomaya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649407065 PECOS PAC ID: 7012182231 Enrollment ID: I20111215000791 |
| Provider Name | Kristin Lynn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508264292 PECOS PAC ID: 2365767050 Enrollment ID: I20150223000889 |
| Provider Name | Latoya Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407223258 PECOS PAC ID: 6507172566 Enrollment ID: I20150904002367 |
| Provider Name | Ellen Rakhman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575402 PECOS PAC ID: 9830524669 Enrollment ID: I20200124000036 |
| Provider Name | Miriana Youkhana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386303295 PECOS PAC ID: 1456746411 Enrollment ID: I20220310000651 |
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