Provider Demographics
NPI:1770671810
Name:FAMILY DOCTORS-FAMILY HEALTH CARE, S.C.
Entity type:Organization
Organization Name:FAMILY DOCTORS-FAMILY HEALTH CARE, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULMASSIH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULMASSIH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-673-5166
Mailing Address - Street 1:6201 W TOUHY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-1100
Mailing Address - Country:US
Mailing Address - Phone:847-673-5166
Mailing Address - Fax:847-673-5636
Practice Address - Street 1:6201 W TOUHY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-1100
Practice Address - Country:US
Practice Address - Phone:847-673-5166
Practice Address - Fax:847-673-5636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL336048940Medicaid
IL0001623791OtherBLUE CROSS BLUE SHIELD
IL036110773Medicaid
IL036065699Medicaid
IL036110773Medicaid
C45399Medicare UPIN
I35594Medicare UPIN
IL336048940Medicaid