Provider Demographics
NPI:1154448132
Name:FAMILY PLANNING MANAGEMENT INC.
Entity Type:Organization
Organization Name:FAMILY PLANNING MANAGEMENT INC.
Other - Org Name:ALBANY MEDICAL SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARACICH
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:773-725-0200
Mailing Address - Street 1:5086 N ELSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-2427
Mailing Address - Country:US
Mailing Address - Phone:773-725-0200
Mailing Address - Fax:773-725-0200
Practice Address - Street 1:5086 N ELSTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2427
Practice Address - Country:US
Practice Address - Phone:773-725-0200
Practice Address - Fax:773-725-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL7000789261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical