| NPI | 1740515253 |
|---|---|
| Former Legal Business Name | FAMILY MEDICINE SPECIALISTS INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | JASON BELLUCCI CFO 847-526-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036083207) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2024-10-09 |