Family Primary Care Clinic

NPI #1134540446 in Waukegan, Illinois

Provider Information

NPI Number
1134540446
Entity Type
Organization
Organization Name
Family Primary Care Clinic
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 4, 2014
Last Updated
Dec 30, 2020

Practice Location

Address
2424 WASHINGTON ST STE 208
ZIP Code
60085-5077
Phone
(224) 381-7672

Authorized Official

Name
MS. KIMBERLY TASIGCHANA, FNP-C
Title
NURSE PRACTITIONER
Phone
(224) 381-7672

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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