Organization
LOMBARD FAMILY HEALTH CENTER
Active
Other names
Lombard Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY K YONG MD (MD/OWNER)
(630) 629-0017
Entity
Organization
Contact information
Practice address
126 W SAINT CHARLES RD, LOMBARD, IL 60148-2231
(630) 629-0017
Mailing address
126 W SAINT CHARLES RD, LOMBARD, IL 60148-2231
(630) 629-0017
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036052942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215686
BCBS
IL
05
—
36052942
—
IL
01
—
730952
COMMERCIAL
IL
Enumeration date
02/21/2007
Last updated
05/15/2019
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