Provider Demographics
NPI:1750077616
Name:FAMILY HEALTHCARE CLINIC
Entity type:Organization
Organization Name:FAMILY HEALTHCARE CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STROHL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:217-259-2987
Mailing Address - Street 1:10147 W 151ST ST.
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462
Mailing Address - Country:US
Mailing Address - Phone:217-259-2987
Mailing Address - Fax:773-595-3912
Practice Address - Street 1:64 ORLAND SQUARE DR STE 14
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-6500
Practice Address - Country:US
Practice Address - Phone:312-489-6756
Practice Address - Fax:773-595-3912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY HEALTHCARE CLINIC, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-13
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty