| Family Medical Care, Ltd | |
|
965 Lake St Oak Park IL 60301-1292 | |
| (708) 383-0400 | |
| Not Available |
| Full Name | Family Medical Care, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 965 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Nancy Gryniewicz (PRESIDENT) |
| Authorized Official Contact | 7083830400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care, Ltd 965 Lake St Oak Park IL 60301-1292 Ph: (708) 383-0400 | Family Medical Care, Ltd 965 Lake St Oak Park IL 60301-1292 Ph: (708) 383-0400 |
| NPI Number | 1831266923 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8729102603 |
|---|---|
| Medicare Enrollment ID | O20100830000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831266923 | NPI | - | NPPES |
| 01632670 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy Gryniewicz-sika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558368043 PECOS PAC ID: 3274657150 Enrollment ID: I20100830000312 |
| Provider Name | Celinne V Mencias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164951521 PECOS PAC ID: 7214206259 Enrollment ID: I20170706001272 |
| Provider Name | Denise Vigilia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013692524 PECOS PAC ID: 4789045980 Enrollment ID: I20230803004491 |
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