Provider Demographics
NPI:1205998481
Name:ALL CARE FAMILY MEDICAL INC
Entity type:Organization
Organization Name:ALL CARE FAMILY MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:ALSAMMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-715-3269
Mailing Address - Street 1:4753 N ELSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-4002
Mailing Address - Country:US
Mailing Address - Phone:773-427-4900
Mailing Address - Fax:
Practice Address - Street 1:4753 N ELSTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-4002
Practice Address - Country:US
Practice Address - Phone:773-427-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036091379207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty