Organization
FAMINAMED HEALTHCARE PROVIDERS S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAROOQ MASOOD AHMED M.D (PRESIDENT/ CEO)
(312) 590-8742
Entity
Organization
Contact information
Practice address
5021 CAROL ST, STE 1F, SKOKIE, IL 60077-2202
(312) 590-8742
Mailing address
5021 CAROL ST, STE 1F, SKOKIE, IL 60077-2202
(312) 590-8742
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
036.118695
IL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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