Family Health Prevention & Care Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILY HEALTH PREVENTION & CARE CENTER

Practice address

1020 North Milwaukee Avenue,
Suit 160
Deerfield, IL 60015

Phone

(847) 947-8306

Fax

(847) 890-6003

NPI assigned

Jan 3, 2011

Last updated

Jan 3, 2011By 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

Alex Golovin

Title

Administrator

Phone

(847) 947-8306

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1457655664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N. MILWAUKEE AVE.,",
            "address_2": "STE 160",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 NORTH MILWAUKEE AVENUE,",
            "address_2": "SUIT 160",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "847-947-8306",
            "fax_number": "847-890-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH PREVENTION & CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GOLOVIN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-947-8306"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.