Organization
FAMILY HOME CARE PHYSICIANS LLC
Active
Organization
FAMILY HOME CARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN MANGUERRA RN (MEMBER/OWNER)
(708) 833-2412
Entity
Organization
Contact information
Practice address
6956 155TH PL, OAK FOREST, IL 60452-1599
(708) 833-2412
(708) 961-2028
Mailing address
6956 155TH PL, OAK FOREST, IL 60452-1599
(708) 833-2412
(708) 961-2028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036051511
IL
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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