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Organization
FAMILY DOCTORS-FAMILY HEALTH CARE, S.C.
Active
Organization
FAMILY DOCTORS-FAMILY HEALTH CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULMASSIH ABDULMASSIH MD (PRESIDENT)
(847) 673-5166
Entity
Organization
Contact information
Practice address
6201 W TOUHY AVE, CHICAGO, IL 60646-1100
(847) 673-5166
(847) 673-5636
Mailing address
6201 W TOUHY AVE, CHICAGO, IL 60646-1100
(847) 673-5166
(847) 673-5636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001623791
BLUE CROSS BLUE SHIELD
IL
05
—
036065699
—
IL
05
—
036110773
—
IL
05
—
336048940
—
IL
Enumeration date
10/11/2006
Last updated
07/28/2015
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