FAMILY DOCTORS OF BROOKFIELD SC NPI 1134378789

NPI Information

NPI: 1134378789
Provider Name: FAMILY DOCTORS OF BROOKFIELD SC

Doing Business As: THE FAMILY DOCTORS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D0420874

Address:
8905 BURLINGTON AVE
BROOKFIELD, IL
ZIP 60513
Phone: (708) 387-7000
Get Directions

FAMILY DOCTORS OF BROOKFIELD SC is a primary care clinic center in Brookfield, IL. FAMILY DOCTORS OF BROOKFIELD SC NPI is 1134378789. The provider is registered as an organization entity type.
The provider Is Doing Business As The Family Doctors.

The provider's business location address is:

8905 BURLINGTON AVE
BROOKFIELD, IL
ZIP 60513-034
Phone: (708) 387-7000
Fax: (708) 387-7001

The provider's authorized official is George Tomecki .
The authorized official title is Physician and has the following contact phone number (708) 387-7000.

The CLIA number assigned to this NPI record is 14D0420874 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2008 and was last updated on 5/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	042618634	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I28068	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »