OrganizationActive
Family Medicine Specialists, S.c.
NPI 1366816514 · Non-Pharmacy Dispensing Site · Wauconda, IL
Provider details
- NPI number
- 1366816514
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Jasmine Worthen, Credentialing Specialist(727) 755-0693
Specialties & taxonomies
Suppliers
Practice location
431 W Liberty Street
Wauconda, IL 60084
Phone: (847) 508-5897
Fax: (847) 526-2017
Approximate (ZIP-level) locationGet directions
Mailing address
311 Park Place Blvd
Clearwater, FL 33759-4904
Other names (DBA / former)
- Doing business as
- Family Medicine Specialists
Registry dates
- Enumerated
- 2015-11-25
- Last updated
- 2015-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.