Provider Demographics
NPI:1114600434
Name:D AND A FAMILY CARE LLC
Entity Type:Organization
Organization Name:D AND A FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMIH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:224-203-5574
Mailing Address - Street 1:7919 GOLF RD
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-1040
Mailing Address - Country:US
Mailing Address - Phone:224-203-5574
Mailing Address - Fax:224-204-2391
Practice Address - Street 1:7919 GOLF RD
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-1040
Practice Address - Country:US
Practice Address - Phone:224-203-5574
Practice Address - Fax:224-204-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty