Family Medical Care, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CARE, LTD

Practice address

965 Lake St
Oak Park, IL 60301-1292

Phone

(708) 383-0400

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Nancy Gryniewicz, M.D.NPI 1558368043

Title

President

Phone

(708) 383-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Gryniewicz, M.D.

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1558368043
  Medicare reassignment Care Compare group NPD Authorized official
• Celinne Mencias, APN

  • Family Nurse Practitioner
  • Wheaton, IL
  • NPI 1164951521
  Medicare reassignment Care Compare group NPD
• Nichole Enix Galindez Rodriguez, APN-CNP

  • Nurse Practitioner
  • Oak Park, IL
  • NPI 1467290544
  Medicare reassignment NPD
• Denise Vigilia, APN-CNP

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1013692524
  Medicare reassignment NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831266923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011292",
            "telephone_number": "708-383-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011292",
            "telephone_number": "708-383-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRYNIEWICZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-383-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01632670",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Rajaee Fakhouri
• Adrian Falco
• Rebecca Fallert, LCSW
• Family First Mental Health Services Co
• Family First Mental Health Services Co
• Family Service and Mental Health Center of Cicero
• Brittani Farmer
• Walter Kelley Farris, DMD
• Meredith Price Farster, LSW
• Anna Rosa Faso, RD, LDN

• Family Medicine Physician in Oak Park, IL
• Providers in Oak Park, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.