Organization
FAMILY FIRST PHYSICIANS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M FEDERICI MD (OWNER)
(815) 784-6300
Entity
Organization
Contact information
Practice address
599 PEARSON DR, GENOA, IL 60135-1355
(815) 784-6300
(815) 784-6363
Mailing address
599 PEARSON DR, GENOA, IL 60135-1355
(815) 784-6300
(815) 784-6363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036114320
IL
Other
Enumeration date
07/16/2006
Last updated
10/14/2009
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