Family Medicine Specialists, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE SPECIALISTS, S.C.

Practice address

604 W Liberty St
Wauconda, IL 60084-3479

Phone

(847) 526-2151

Fax

(847) 526-2017

NPI assigned

Sep 9, 2005

Last updated

Mar 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason C Bellucci

Title

Practice Administrator

Phone

(847) 526-2151

Specialties & licenses 1

Addresses

Other names 1

• FAMILY MEDICINE SPECIALISTS, INCORPORATED Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David J Alengo, MD

  • Family Medicine Physician
  • Wauconda, IL
  • NPI 1356335996
  Medicare reassignment Care Compare group NPD
• Jennifer M Bellucci Jackson, MD

  • Family Medicine Physician
  • Wauconda, IL
  • NPI 1689669293
  Medicare reassignment Care Compare group NPD
• Juan Armando Chavez Duarte, APRN, CNP

  • Nurse Practitioner
  • McHenry, IL
  • NPI 1215642368
  Medicare reassignment Care Compare group NPD
• Megan Copeland, FNP

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1497587851
  Medicare reassignment Care Compare group NPD
• Davinder K Dhillon, APRN

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1780331033
  Medicare reassignment Care Compare group NPD
• Rose Henry Mariette Eboh, NP

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1841948932
  Medicare reassignment Care Compare group NPD
• Kerry J Ehlert-Donovan, APN

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1720373731
  Medicare reassignment Care Compare group NPD
• Mallory Iverson, APN

  • Nurse Practitioner
  • Wauconda, IL
  • NPI 1366818692
  Medicare reassignment Care Compare group NPD
• Erika Johnson, F.N.P.

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1508216540
  Medicare reassignment Care Compare group NPD
• Corrie McMahon, FNP

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1104423094
  Medicare reassignment Care Compare group NPD
• Sylvia S Moreno, FNP

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1639302615
  Medicare reassignment Care Compare group NPD
• Michael Mosquera

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1487460952
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1063406601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6037",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600846037",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600843479",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Belvidere Rd",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600856313",
            "country_code": "US",
            "telephone_number": "847-244-4995",
            "fax_number": "847-244-5099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 N Main St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IL",
            "postal_code": "600717716",
            "country_code": "US",
            "telephone_number": "815-678-4181",
            "fax_number": "815-678-4184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Lake St",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "IL",
            "postal_code": "600021464",
            "country_code": "US",
            "telephone_number": "847-395-2627",
            "fax_number": "847-395-2615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Wauconda",
            "state": "IL",
            "postal_code": "600842452",
            "country_code": "US",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY MEDICINE SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BELLUCCI",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-526-2151"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICINE SPECIALISTS, INCORPORATED",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rose Henry Mariette Eboh, NP
• Kerry J Ehlert-Donovan, APN
• Employee Health Advocate LTD
• Carol A Exline
• Family Medicine Specialists, Inc
• Family Medicine Specialists, S.C. (Family Medicine Specialists)
• Michael Ferrari, DPM
• Leslie D Ferrigan, P.T.
• First Step Foot Care, SC
• James P Flood, DPM

• Family Medicine Physician in Wauconda, IL
• Providers in Wauconda, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.