Organization
FLOSSMOOR FAMILY CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELANDA HAYES M.D. (OWNER)
(708) 799-9700
Entity
Organization
Contact information
Practice address
19150 KEDZIE AVE, SUITE 207, FLOSSMOOR, IL 60422
(708) 799-9700
Mailing address
19150 KEDZIE AVE, SUITE 207, FLOSSMOOR, IL 60422
(708) 799-9700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108398
IL
Other
Enumeration date
03/19/2015
Last updated
10/15/2015
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