Organization
HEALTHY FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASOOD S SYED MD (OWNER)
(773) 776-9822
Entity
Organization
Contact information
Practice address
2636 W 71ST ST, CHICAGO, IL 60629-2082
(773) 776-9822
(773) 776-9865
Mailing address
2636 W 71ST ST, CHICAGO, IL 60629-2082
(773) 776-9822
(773) 776-9865
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036-084772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084772
—
IL
Enumeration date
03/30/2010
Last updated
03/30/2010
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