Provider Demographics
NPI:1447399472
Name:FRIENDLY FAMILY HEALTH CENTER SC
Entity Type:Organization
Organization Name:FRIENDLY FAMILY HEALTH CENTER SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BADAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-539-8000
Mailing Address - Street 1:3334 W LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-5212
Mailing Address - Country:US
Mailing Address - Phone:773-539-8000
Mailing Address - Fax:773-539-7311
Practice Address - Street 1:3334 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-5212
Practice Address - Country:US
Practice Address - Phone:773-539-8000
Practice Address - Fax:773-539-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01622847OtherBCBS
IL01622847OtherBCBS