1326322736 NPI number — FAMILY PRACTICE MEDICAL CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326322736 NPI number — FAMILY PRACTICE MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY PRACTICE MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326322736
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
511 W. FAIRCHILD STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DANVILLE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61832
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
217-431-2025
Provider Business Mailing Address Fax Number:
217-431-0014

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
511 W. FAIRCHILD STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-431-2025
Provider Business Practice Location Address Fax Number:
217-431-0014
Provider Enumeration Date:
10/04/2011

Additional Information

Authorized Official

Authorized Official Last Name:
GINDI
Authorized Official First Name:
GEORGE
Authorized Official Middle Name:
RIAD
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
217-431-2025

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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