Organization
FAMILY MEDICINE SPECIALISTS, INC.
Active
Parent organization
FAMILY MEDICINE SPECIALISTS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY MEDICINE SPECIALISTS, INC.
Authorized official
JENNIFER BELLUCCI MD (OWNER)
(815) 678-4181
Entity
Organization
Contact information
Practice address
9700 N MAIN ST, RICHMOND, IL 60071-7716
(815) 678-4181
Mailing address
2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/01/2011
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