# FAIROAKS MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMERICAN FAMILY MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487055513
- **Authorized official:** DR. MOHAMMAD VASEEMUDDIN M.D. (OWNER)
- **Authorized official phone:** (630) 876-9000

## Contact information

- **Practice address:** 1254 OGDEN AVE, DOWNERS GROVE, IL 60515-2740
- **Practice address phone:** (630) 963-6912
- **Practice address fax:** (630) 963-1499
- **Mailing address:** 1254 OGDEN AVE, DOWNERS GROVE, IL 60515-2740
- **Mailing address phone:** (630) 963-6912
- **Mailing address fax:** (630) 963-1499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/08/2014
- **Last updated:** 08/14/2023