| NPI | 1932141579 |
|---|---|
| Doing Business As | FAMILY MEDICAL GROUP,S.C |
| Entity Type | Organization |
| Authorized Contact | MICHALE WASZAK Family Practice M.D 815-725-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |