| Family Practice Healthcare Pc | |
|
14741 Ravinia Ave Orland Park IL 60462 | |
| (708) 226-8125 | |
| Not Available |
| Full Name | Family Practice Healthcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14741 Ravinia Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Linda C Evans Beckman (PRESIDENT) |
| Authorized Official Contact | 7082268125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Healthcare Pc 14741 Ravinia Ave Orland Park IL 60462 Ph: (708) 226-8125 | Family Practice Healthcare Pc 14741 Ravinia Ave Orland Park IL 60462 Ph: (708) 226-8125 |
| NPI Number | 1326159062 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/30/2014 |
| Medicare PECOS PAC ID | 1052406691 |
|---|---|
| Medicare Enrollment ID | O20070927000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326159062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda Evans Beckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013951912 PECOS PAC ID: 3971698523 Enrollment ID: I20070927000823 |
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