Provider Demographics
NPI:1982796660
Name:DULCE,MARTINEZ AND PINTO FAMILY MEDICAL CENTERS, S.C.
Entity Type:Organization
Organization Name:DULCE,MARTINEZ AND PINTO FAMILY MEDICAL CENTERS, S.C.
Other - Org Name:AMERICAS FAMILY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SOLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-833-5838
Mailing Address - Street 1:580 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-2829
Mailing Address - Country:US
Mailing Address - Phone:630-833-5838
Mailing Address - Fax:630-833-3266
Practice Address - Street 1:674 COLLINS ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60432-1857
Practice Address - Country:US
Practice Address - Phone:815-726-1665
Practice Address - Fax:815-726-4870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care