Familydoc Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FAMILYDOC URGENT CARE LLC

Practice address

7201 S Stony Island Ave
Chicago, IL 60649

Phone

(773) 940-1612

Fax

(630) 559-7349

NPI assigned

Sep 17, 2019

Last updated

Jun 1, 2022By 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

Dr. Adebayo Bademosi, MDNPI 1346357076

Title

Owner

Phone

(773) 940-1612

Specialties & licenses 1

Addresses

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

Practitioners 10

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.

• Adebayo Bademosi, M.D.

  • Family Medicine Physician
  • Munster, IN
  • NPI 1346357076

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Markus P Wrobel

  • Physician Assistant
  • Chicago, IL
  • NPI 1669093928
  Medicare reassignment Care Compare group
• Brandy Wade, FNP-BC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1962279489
  Medicare reassignment NPD
• David Walters, FNP-BC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1780303735
  Medicare reassignment NPD
• Annie Ruth White, APRN, CNP

  • Nurse Practitioner
  • Oak Park, IL
  • NPI 1780271247

  Single Specialty

  Medicare reassignment NPD
• Ebonie Leah Williams, FNP-BC

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1871002675
  Medicare reassignment NPD
• Miyako S Streeter, FNP

  • Family Nurse Practitioner
  • Hammond, IN
  • NPI 1225501356

  IL

  Medicare reassignment NPD
• Marcus Laron Forward II, PA-C

  • Physician Assistant
  • Norridge, IL
  • NPI 1336767292
  Medicare reassignment
• Allison Julia Lund

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1922975622
  Medicare reassignment
• Sade Wright, PA

  • Physician Assistant
  • Olympia Fields, IL
  • NPI 1073107256
  Medicare reassignment

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1245880715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60649",
            "telephone_number": "773-940-1612",
            "fax_number": "630-559-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60649",
            "telephone_number": "773-940-1612",
            "fax_number": "630-559-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYDOC URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "BADEMOSI",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-940-1612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Stress and Pain Clinic
• Family Stress Clinic
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• Family Wellness Counseling LLC
• Family Wound Care Physicians Inc
• Familydok Urgent Care, LLC (FamilyDok Urgent Care)
• Annette Famulski
• Judy C. Fan-Hsu, D.D.S.
• Austin Fan, MD
• Betty Fan, D.O.

• Urgent Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.