Organization
APN FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK E BEAUDOIN JR. NP (OWNER)
(708) 293-8800
Entity
Organization
Contact information
Practice address
13303 S RIDGELAND AVE, UNIT C, PALOS HEIGHTS, IL 60463-1815
(708) 293-8800
Mailing address
13303 S RIDGELAND AVE, UNIT C, PALOS HEIGHTS, IL 60463-1815
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
209000346
IL
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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