| Family Medicine Associates Of Lutheran General S C | |
|
7900 N Milwaukee Ave Suite 233 Niles IL 60714-3159 | |
| (847) 967-9660 | |
| (847) 470-9323 |
| Full Name | Family Medicine Associates Of Lutheran General S C |
|---|---|
| Speciality | Family Medicine |
| Location | 7900 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Debroah Geismar (PRESIDENT) |
| Authorized Official Contact | 8479679660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Associates Of Lutheran General S C 7900 N Milwaukee Ave Suite 233 Niles IL 60714-3159 Ph: (847) 967-9660 | Family Medicine Associates Of Lutheran General S C 7900 N Milwaukee Ave Suite 233 Niles IL 60714-3159 Ph: (847) 967-9660 |
| NPI Number | 1033295415 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033295415 | NPI | - | NPPES |
| 036073437 | Medicaid | IL | |
| 01623792 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073437 (Illinois) | Primary |
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