# FAMILY MEDICINE OF ILLINOIS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447426879
- **Authorized official:** SYEDA AISHA IFTIKHAR M.D. (PHYSICIAN)
- **Authorized official phone:** (224) 567-8371

## Contact information

- **Practice address:** 1507 S FALCON DR, LIBERTYVILLE, IL 60048-4897
- **Practice address phone:** (847) 494-0265
- **Mailing address:** 1507 S FALCON DR, LIBERTYVILLE, IL 60048-4897
- **Mailing address phone:** (847) 494-0265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036102332 | IL | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 02/03/2021