| Family Health Center | |
|
755 S Milwaukee Ave Ste 261 Libertyville IL 60048-3266 | |
| (847) 281-1100 | |
| (847) 281-1300 |
| Full Name | Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 755 S Milwaukee Ave Ste 261, Libertyville, Illinois |
| Authorized Official Name and Position | Waldemar Mysiak (PRESIDENT) |
| Authorized Official Contact | 8472811100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center 755 S Milwaukee Ave Ste 261 Libertyville IL 60048-3266 Ph: (847) 281-1100 | Family Health Center 755 S Milwaukee Ave Ste 261 Libertyville IL 60048-3266 Ph: (847) 281-1100 |
| NPI Number | 1508163031 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508163031 | NPI | - | NPPES |
| 036099938 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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