| Lombard Family Health Center | |
|
126 W Saint Charles Rd Lombard IL 60148-2231 | |
| (630) 629-0017 | |
| Not Available |
| Full Name | Lombard Family Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 126 W Saint Charles Rd, Lombard, Illinois |
| Authorized Official Name and Position | Gary K Yong (MD/OWNER) |
| Authorized Official Contact | 6306290017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lombard Family Health Center 126 W Saint Charles Rd Lombard IL 60148-2231 Ph: (630) 629-0017 | Lombard Family Health Center 126 W Saint Charles Rd Lombard IL 60148-2231 Ph: (630) 629-0017 |
| NPI Number | 1902931025 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 05/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902931025 | NPI | - | NPPES |
| 730952 | Other | IL | COMMERCIAL |
| 36052942 | Medicaid | IL | |
| 2215686 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036052942 (Illinois) | Primary |
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