| Family Medical | |
|
3295 N Arlington Heights Rd #102 Arlington Heights IL 60004-1565 | |
| (847) 392-7400 | |
| (847) 392-0036 |
| Full Name | Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 3295 N Arlington Heights Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Elena Edwards (DOCTOR/OWNER) |
| Authorized Official Contact | 8473927400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical 3295 N Arlington Heights Rd #102 Arlington Heights IL 60004-1565 Ph: (847) 392-7400 | Family Medical 3295 N Arlington Heights Rd #102 Arlington Heights IL 60004-1565 Ph: (847) 392-7400 |
| NPI Number | 1356503221 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 09/18/2008 |
| Medicare PECOS PAC ID | 3274600671 |
|---|---|
| Medicare Enrollment ID | O20080926000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356503221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elena Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568524098 PECOS PAC ID: 2769584978 Enrollment ID: I20070219000418 |
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