Family Medical Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094399 Issued in IL

Legal business name

FAMILY MEDICAL CLINIC, INC.

Practice address

800 Biesterfield Rd
Suite 535
Elk Grove VLG, IL 60007-3311

Phone

(847) 439-6803

Fax

(847) 439-8057

NPI assigned

Apr 30, 2007

Organization subpart

No

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

Authorized official

Name

Roberto P Castro, M.D.NPI 1083600050

Title

President

Phone

(847) 439-6803

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.

• Roberto Pepe Castro, MD.

  • Internal Medicine Physician
  • Sigourney, IA
  • NPI 1083600050
  NPD Authorized official

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1467672576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 535",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-439-6803",
            "fax_number": "847-439-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 535",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-439-6803",
            "fax_number": "847-439-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-439-6803",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felecia Katherine Dus
• Felisha Ann Edwards
• Lindsey Eilers, MA
• Elk Grove Internists, P.C.
• Sandra L Fallico
• Gissel Ferrer
• Sabrina Gutierrez
• Head and Neck Associates 2 S C
• Healthier Behavior Therapy Solutions
• Dulce Hernandez, RBT

• Internal Medicine Physician in Elk Grove VLG, IL
• Providers in Elk Grove VLG, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.