| Friendly Family Medical Care, Inc. | |
|
10225 W Lincoln Hwy Frankfort IL 60423-1279 | |
| (815) 464-0081 | |
| (815) 464-0538 |
| Full Name | Friendly Family Medical Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10225 W Lincoln Hwy, Frankfort, Illinois |
| Authorized Official Name and Position | Tisa Anne Morris-christian (OWNER) |
| Authorized Official Contact | 8154640081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friendly Family Medical Care, Inc. 10225 W Lincoln Hwy Frankfort IL 60423-1279 Ph: (815) 464-0081 | Friendly Family Medical Care, Inc. 10225 W Lincoln Hwy Frankfort IL 60423-1279 Ph: (815) 464-0081 |
| NPI Number | 1356592828 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 7517021421 |
|---|---|
| Medicare Enrollment ID | O20090121000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356592828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036101122 (Illinois) | Primary |
| Provider Name | Tisa A Morris Christian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497866065 PECOS PAC ID: 0345304259 Enrollment ID: I20090121000390 |
| Provider Name | Tamra A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740733658 PECOS PAC ID: 9335436419 Enrollment ID: I20160919000999 |
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