# FAMILY MEDICAL CLINIC, INC.

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

## Provider details

- **NPI number:** 1467672576
- **Authorized official:** ROBERTO P CASTRO M.D. (PRESIDENT)
- **Authorized official phone:** (847) 439-6803

## Contact information

- **Practice address:** 800 BIESTERFIELD RD, SUITE 535, ELK GROVE VLG, IL 60007-3311
- **Practice address phone:** (847) 439-6803
- **Practice address fax:** (847) 439-8057
- **Mailing address:** 800 BIESTERFIELD RD, SUITE 535, ELK GROVE VLG, IL 60007-3311
- **Mailing address phone:** (847) 439-6803
- **Mailing address fax:** (847) 439-8057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036094399 | IL | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 06/24/2008