Flossmoor Family Care, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036108398 Issued in IL

Legal business name

FLOSSMOOR FAMILY CARE, S.C.

Practice address

19150 Kedzie Ave
Suite 207
Flossmoor, IL 60422

Phone

(708) 799-9700

NPI assigned

Mar 19, 2015

Last updated

Oct 15, 2015By 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

Shelanda Hayes, M.D.NPI 1528194131

Title

Owner

Phone

(708) 799-9700

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Shelanda Charise Hayes, MD

  • Family Medicine Physician
  • Flossmoor, IL
  • NPI 1528194131
  Authorized official Same address or phone

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1366836132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE",
            "address_2": "SUITE 207",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "60422",
            "telephone_number": "708-799-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE",
            "address_2": "SUITE 207",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "60422",
            "telephone_number": "708-799-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSSMOOR FAMILY CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SHELANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-799-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Wellness Connections
• Sean K Fancher, DPT
• Kevin Lloyd Fatland, D.M.D.
• Robert Steven Fichter, ATC, CSCS
• Alesia Fleshman
• Flossmoor Pain Institute and Surgical Care, LLC
• Christina L Fortunato
• Emma Fowler
• Nancy Frost, C.R.N.A
• Victor P Fuller

• Family Medicine Physician in Flossmoor, IL
• Providers in Flossmoor, 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 Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.