Provider Demographics
NPI:1639340292
Name:HEALTH CARE FOR THE FAMILY SC
Entity Type:Organization
Organization Name:HEALTH CARE FOR THE FAMILY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:DEMKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-483-0200
Mailing Address - Street 1:8 N BARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-1901
Mailing Address - Country:US
Mailing Address - Phone:630-483-0200
Mailing Address - Fax:630-483-0215
Practice Address - Street 1:8 N BARRINGTON RD
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-1901
Practice Address - Country:US
Practice Address - Phone:630-483-0200
Practice Address - Fax:630-483-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036051067261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036051067Medicaid
IL242020Medicare PIN