Organization
FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED S C
Active
Other names
FAMILY MEDICINE SPECIALISTS INCORPORATED
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BELLUCCI (CFO)
(847) 526-2151
Entity
Organization
Contact information
Practice address
2680 ROUTE 83, ROUND LAKE BEACH, IL 60073
(224) 372-7780
(224) 372-7782
Mailing address
PO BOX 6037, WAUCONDA, IL 60084-2452
(847) 526-2151
(847) 526-2017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036083207
IL
Other
Enumeration date
10/16/2009
Last updated
10/09/2024
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