Family Medical Center of Bolingbrook SC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036-098970 Issued in IL

Legal business name

FAMILY MEDICAL CENTER OF BOLINGBROOK SC

Practice address

516 E Boughton Rd
Bolingbrook, IL 60440-2181

Phone

(630) 739-2878

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Carlino, D.O.

Title

Owner

Phone

(630) 739-2878

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1376668475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402181",
            "telephone_number": "630-739-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER OF BOLINGBROOK SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "CARLINO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-739-2878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036-098970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP#",
            "identifier": "556070",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairhurstcare LLC
• Ana Fajardo, LCSW
• Family Doctor Now PLLC
• Family Eye Care of Bolingbrook LTD
• Family Foot and Ankle Care, P.C.
• Nathan Joseph Fanter, D.O.
• Fash Counseling Inc.
• Jenna Lynn Fash, LCPC
• Hafsa Fatima
• Janaya Feiner, DC

• Medical Specialty Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.