Family Healthcare Clinic, Pllc | |
20325 S Graceland Ln Unit A Frankfort IL 60423-9047 | |
(312) 489-6756 | |
(773) 595-3912 |
Full Name | Family Healthcare Clinic, Pllc |
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Speciality | Nurse Practitioner |
Location | 20325 S Graceland Ln Unit A, Frankfort, Illinois |
Authorized Official Name and Position | Kevin J Strohl (FAMILY NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 2172592987 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Healthcare Clinic, Pllc 10147 W 151st St Orland Park IL 60462-3083 Ph: (312) 489-6756 | Family Healthcare Clinic, Pllc 20325 S Graceland Ln Unit A Frankfort IL 60423-9047 Ph: (312) 489-6756 |
NPI Number | 1073208856 |
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Provider Enumeration Date | 04/07/2023 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 7911369624 |
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Medicare Enrollment ID | O20230811002817 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073208856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Kevin J Strohl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053652545 PECOS PAC ID: 3577797877 Enrollment ID: I20130927000319 |
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