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Organization

FAMILY MEDICINE SPECIALISTS, S.C.

Active
Other names
FAMILY MEDICINE SPECIALISTS, INCORPORATED
Organization subpart
No

Provider details

NPI number
Authorized official
JASON C BELLUCCI (PRACTICE ADMINISTRATOR)
(847) 526-2151
Entity
Organization

Contact information

Practice address
604 W LIBERTY ST, WAUCONDA, IL 60084-3479
(847) 526-2151
(847) 526-2017
Mailing address
PO BOX 6037, WAUCONDA, IL 60084-6037
(847) 526-2151
(847) 526-2017

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/09/2005
Last updated
03/19/2025
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