Organization
FAMILY CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIO LUIS ILADA IV M.D. (PRESIDENT)
(262) 598-9205
Entity
Organization
Contact information
Practice address
5439 DURAND AVE, SUITE 202, RACINE, WI 53406-5058
(262) 598-9205
Mailing address
5439 DURAND AVE, SUITE 202, RACINE, WI 53406-5058
(262) 598-9205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35992-020
WI
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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