# FAMILY PRACTICE MEDICAL CENTER LTD

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

## Provider details

- **NPI number:** 1659312072
- **Authorized official:** DR. GEORGE R GINDI MD (OWNER)
- **Authorized official phone:** (217) 431-2025

## Contact information

- **Practice address:** 511 W FAIRCHILD ST, DANVILLE, IL 61832-3801
- **Practice address phone:** (217) 431-2025
- **Practice address fax:** (217) 431-0014
- **Mailing address:** 511 W FAIRCHILD ST, DANVILLE, IL 61832-3801
- **Mailing address phone:** (217) 431-2025
- **Mailing address fax:** (217) 431-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 036087566 | IL | Yes |
| 261QR1300X | Rural Health Clinic/Center | 036100736 | IL | — |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 04/25/2013