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Family Health And Fitness Specialists, Ltd.

Family Medicine in South Elgin, IL. Organization (NPI-2).

NPI number1790797686
StatusActive
Last updated in NPPESJul 10, 2013

Details

NPI
1790797686
Entity type
Organization (NPI-2)
Legal business name
Family Health And Fitness Specialists, Ltd.
Organization subpart
No
Enumeration date
Aug 12, 2006
Last updated
Jul 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036105926ILYes

Practice location

455 Briargate Dr
South Elgin, IL 60177-2225

Phone 847-622-0506 · Fax 847-622-0507

Mailing address

455 Briargate Dr
South Elgin, IL 60177-2225

Phone 847-622-0506 · Fax 847-622-0507

Authorized official

Matthew Brandon
President
8476220506

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