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Organization

FAMILY WELLNESS & HEALTHCARE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SYLVIA GARCIA-BEACH M.D. (PRESIDENT/OWNER)
(815) 464-9655
Entity
Organization

Contact information

Practice address
10289 W LINCOLN HWY, FRANKFORT, IL 60423-1279
(815) 464-9655
Mailing address
10289 W LINCOLN HWY, FRANKFORT, IL 60423-1279
(815) 464-9655

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-085569
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09932351
BCBS PROVIDER NUMBER
IL
01
12650
HFN
IL
01
2022817945
MULTIPLAN
IL
01
212254
MEDICARE ID
IL
01
4398541
AETNA
IL
01
776241
FIRST HEALTH
IL
01
8025898
CIGNA PROVIDER NUMBER
IL
01
9395998
PHCS
IL
Enumeration date
11/28/2007
Last updated
03/03/2008
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