Family Practice Specialist Sc

NPI #1740470715 in Lake Barrington, Illinois

Provider Information

NPI Number: 1740470715
Entity Type: Organization
Organization Name: Family Practice Specialist Sc
Primary Specialty: General Practice
Enumeration Date: Jul 26, 2007
Last Updated: Dec 14, 2007

Practice Location

Address: 22285 PEPPER ROAD
Address 2: SUITE 211
City: Lake Barrington
State: Illinois
ZIP Code: 60010-0302
Phone: (847) 277-9700

Authorized Official

Name: DR. RICHARD J FEROLO, M.D.
Title: PRESIDENT
Phone: (847) 277-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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