Provider Demographics
NPI:1912383373
Name:A & H FAMILY MED, P.C.
Entity Type:Organization
Organization Name:A & H FAMILY MED, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:AKIENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-297-2181
Mailing Address - Street 1:6763 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-4418
Mailing Address - Country:US
Mailing Address - Phone:847-297-2181
Mailing Address - Fax:847-297-0248
Practice Address - Street 1:6763 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-4418
Practice Address - Country:US
Practice Address - Phone:847-297-2181
Practice Address - Fax:847-297-0248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036074625207Q00000X
IL036074614207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty