Family First Physicians SC
Organization Active NPI Family Medicine Physician · Genoa, IL
NPI 1437176435 · NPPES record last updated Oct 14, 2009
Key facts
- NPI
- 1437176435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036114320 (IL)
- Legal business name
- FAMILY FIRST PHYSICIANS SC
- Practice address
- 599 Pearson Dr
Genoa, IL 60135-1355 - Phone
- (815) 784-6300
- Fax
- (815) 784-6363
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Karen M Federici, MD
- Title
- Owner
- Phone
- (815) 784-6300
Practitioners 1
-
Kristina Lynn Wagner Ross, MSN, APRN, FNP-BC
National Provider Directory
Locations
599 Pearson Dr
Genoa, IL 60135
Phone (815) 784-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 036114320 | IL | Yes |
Addresses
Primary practice location
599 Pearson Dr
Genoa, IL 60135-1355
Mailing address
599 Pearson Dr
Genoa, IL 60135-1355
Phone (815) 784-6300
Other providers in Genoa, IL
- Victoria Elizabeth Deku
- Steven J Disanti
- Dr Hilda Hattar DC PC
- Justin Tyler Durancik
- Joshua Benjamin Eriks
- Genesis DTC, LLC
- Genesis Enterprises Inc
- Genoa Kingston Cusd 424
- Genoa-Kingston Fire Protection District
- Umesh P Goswami
All providers in Genoa, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.