| Family Medical & Surgical Practice, Llc | |
|
1212 Currency Ct Rochelle IL 61068-2321 | |
| (815) 562-4500 | |
| (815) 562-5151 |
| Full Name | Family Medical & Surgical Practice, Llc |
|---|---|
| Speciality | Surgery |
| Location | 1212 Currency Ct, Rochelle, Illinois |
| Authorized Official Name and Position | Basith M. Osmani (PHYSICIAN OWNER) |
| Authorized Official Contact | 8155624500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical & Surgical Practice, Llc 1212 Currency Ct Rochelle IL 61068-2321 Ph: (815) 562-4500 | Family Medical & Surgical Practice, Llc 1212 Currency Ct Rochelle IL 61068-2321 Ph: (815) 562-4500 |
| NPI Number | 1609949890 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133113004 |
|---|---|
| Medicare Enrollment ID | O20040413001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609949890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 208600000X | Surgery | (Illinois) | Primary |
| Provider Name | Basith M Osmani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831292069 PECOS PAC ID: 7517866692 Enrollment ID: I20040107000864 |
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