| Family Health Center Physicians, Let | |
|
17060 S Park Ave South Holland IL 60473-3349 | |
| (708) 331-9200 | |
| (708) 331-5519 |
| Full Name | Family Health Center Physicians, Let |
|---|---|
| Speciality | Family Medicine |
| Location | 17060 S Park Ave, South Holland, Illinois |
| Authorized Official Name and Position | Jerome T Daly (PRESIDENT) |
| Authorized Official Contact | 7083319200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Physicians, Let 17060 S Park Ave South Holland IL 60473-3349 Ph: (708) 331-9200 | Family Health Center Physicians, Let 17060 S Park Ave South Holland IL 60473-3349 Ph: (708) 331-9200 |
| NPI Number | 1194842393 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194842393 | NPI | - | NPPES |
| 09932131 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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