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Family Medical Center Of Bolingbrook Sc
Medical Specialty Clinic/Center in Bolingbrook, Illinois
NPI 1376668475

Family Medical Center Of Bolingbrook Sc is a Medical Specialty Clinic/Center based in Bolingbrook, IL and is specialized in Medical Specialty. Family Medical Center Of Bolingbrook Sc practices in Bolingbrook, IL. The NPI Number for Family Medical Center Of Bolingbrook Sc is 1376668475 and holds a License No. 036-098970 (Illinois).

The current practice location address for Family Medical Center Of Bolingbrook Sc is 516 E Boughton Rd, Bolingbrook, IL and can be reached out via phone at 630-739-2878.

Location: 516 E Boughton Rd, Bolingbrook, IL, 60440-2181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376668475
Provider Name
Family Medical Center Of Bolingbrook Sc
Credential
Provider Entity Type
Organization
Address
516 E Boughton Rd, Bolingbrook, IL, 60440-2181
Phone Number
630-739-2878
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
556070 01 IL MEDICARE GRP#
institution
Provider Business Practice Location Address Details
Address
516 E Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-2181
Phone Number
630-739-2878
Fax Number
person
Provider Business Mailing Address Details
Address
516 E Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-2181
Phone Number
630-739-2878
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
036-098970 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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