Organization
FAMILY HEALTH SERVICES S.C.
Active
Other names
Glen Flora Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMPO E SUESCUN MD (OWNER)
(847) 249-3322
Entity
Organization
Contact information
Practice address
935 GLEN FLORA AVE, STE 201, WAUKEGAN, IL 60085
(847) 249-3322
(847) 249-3381
Mailing address
935 GLEN FLORA AVE, STE 201, WAUKEGAN, IL 60085
(847) 249-3322
(847) 249-3381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099235
—
IL
Enumeration date
12/30/2005
Last updated
03/07/2023
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