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Organization

FAMILY MEDICAL CARE, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY GRYNIEWICZ M.D. (PRESIDENT)
(708) 383-0400
Entity
Organization

Contact information

Practice address
965 LAKE ST, OAK PARK, IL 60301-1292
(708) 383-0400
Mailing address
965 LAKE ST, OAK PARK, IL 60301-1292
(708) 383-0400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632670
BCBS
IL
Enumeration date
11/30/2006
Last updated
08/22/2020
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