Organization
FAMILY HEALTH AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGONI I DOKUBO MD (CEO)
(773) 265-0200
Entity
Organization
Contact information
Practice address
3435 W VAN BUREN ST, CHICAGO, IL 60624-3312
(773) 264-0200
Mailing address
3435 W VAN BUREN ST, CHICAGO, IL 60624-3312
(773) 264-0200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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