Provider Demographics
NPI:1053441220
Name:GENERATIONS FAMILY MEDICINE
Entity Type:Organization
Organization Name:GENERATIONS FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OPALKA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-637-8630
Mailing Address - Street 1:2940 ROLLINGRIDGE RD
Mailing Address - Street 2:SUITE NUMBER 101
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4231
Mailing Address - Country:US
Mailing Address - Phone:630-637-8630
Mailing Address - Fax:630-637-8640
Practice Address - Street 1:2940 ROLLINGRIDGE RD
Practice Address - Street 2:SUITE NUMBER 101
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4231
Practice Address - Country:US
Practice Address - Phone:630-637-8630
Practice Address - Fax:630-637-8640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care