# FAMILY HOME CARE PHYSICIANS LLC

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

## Provider details

- **NPI number:** 1699092429
- **Authorized official:** MR. RYAN MANGUERRA RN (MEMBER/OWNER)
- **Authorized official phone:** (708) 833-2412

## Contact information

- **Practice address:** 6956 155TH PL, OAK FOREST, IL 60452-1599
- **Practice address phone:** (708) 833-2412
- **Practice address fax:** (708) 961-2028
- **Mailing address:** 6956 155TH PL, OAK FOREST, IL 60452-1599
- **Mailing address phone:** (708) 833-2412
- **Mailing address fax:** (708) 961-2028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036051511 | IL | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 05/04/2010