Provider Demographics
NPI:1093226433
Name:FIRST PHYSICIANS HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:FIRST PHYSICIANS HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GENELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALMEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-796-5216
Mailing Address - Street 1:1325 REMINGTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4815
Mailing Address - Country:US
Mailing Address - Phone:773-796-5216
Mailing Address - Fax:
Practice Address - Street 1:1325 REMINGTON RD STE B
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4815
Practice Address - Country:US
Practice Address - Phone:773-796-5216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty