Provider Demographics
NPI:1376154088
Name:FAMILY CARE PHYSICIANS INC
Entity Type:Organization
Organization Name:FAMILY CARE PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYEESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-887-6900
Mailing Address - Street 1:5800 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3021
Mailing Address - Country:US
Mailing Address - Phone:773-983-6204
Mailing Address - Fax:
Practice Address - Street 1:5800 S PARK AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3021
Practice Address - Country:US
Practice Address - Phone:773-983-6204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty