OrganizationActive
Family Doctor Medical Center
NPI 1336516780 · Medical Specialty Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1336516780
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Family Doc, Inc.
- Organization subpart
- Yes
- Authorized official
- Julia Jackson, Office Manager(773) 940-1612
- License
- 036101658 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1918 W Irving Park Rd
Chicago, IL 60613-2408
Phone: (773) 940-1612
Approximate (ZIP-level) locationGet directions
Mailing address
1918 W Irving Park Rd
Chicago, IL 60613-2408
Registry dates
- Enumerated
- 2015-09-01
- Last updated
- 2015-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.