| NPI | 1063406601 |
|---|---|
| Former Legal Business Name | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | JASON C BELLUCCI Practice Administrator 847-526-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2021-03-15 |