Organization Active NPI

Family Care Partners Inc

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1861795486
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAMILY CARE PARTNERS INC
Practice address
9133 S Stony Island Ave Ste 1
Chicago, IL 60617-3512
Phone
(773) 375-3312
Fax
(773) 375-2334
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Mr. Khurram Khan
Title
Ceo
Phone
(773) 375-3312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

9133 S Stony Island Ave Ste 1
Chicago, IL 60617-3512

Mailing address

9133 S Stony Island Ave Ste 1
Chicago, IL 60617-3512
Phone (773) 375-3312

Other practice location 1

6222 S Pulaski Rd Ste 2
Chicago, IL 60629-4610
Phone (773) 581-8080

Other practice location 2

14618 Lincoln Ave
Harvey, IL 60426-1610
Phone (708) 339-7000

Other practice location 3

2123 E 71st St
Chicago, IL 60649-2103
Phone (773) 752-1506

Other practice location 4

3600 W Roosevelt Rd
Chicago, IL 60624-4225
Phone (773) 533-1417

Other identifiers 3

IdentifierTypeStateIssuer
1861538712MedicaidIL
1861795486MedicaidIL
1861795486OtherILPPO/HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211001005 IL Part B Supplier - Clinic/Group Practice 5395925069 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2037814Family Care Partners Inc9133 S Stony Island Ave, Ste 1, Chicago, IL 60617Certificate of waiverNov 3, 2026
14D2121724Family Care Partners Inc3600 W Roosevelt Rd, Chicago, IL 60624Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

9133 S Stony Island Ave
#1
Chicago, IL 60617
Phone (773) 375-3312

326 W 64th St
#318
Chicago, IL 60621
Phone (773) 224-4800

6222 S Pulaski Rd
#2
Chicago, IL 60629
Phone (773) 581-8080

6222 S Pulaski Rd
#1
Chicago, IL 60629

3330 W 177th St
Ste 3D
Hazel Crest, IL 60429
Phone (708) 957-4278

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1861795486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3312",
            "fax_number": "773-375-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3312",
            "fax_number": "773-375-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 S Pulaski Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606294610",
            "country_code": "US",
            "telephone_number": "773-581-8080",
            "fax_number": "773-581-3484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14618 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604261610",
            "country_code": "US",
            "telephone_number": "708-339-7000",
            "fax_number": "708-339-7026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2123 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606492103",
            "country_code": "US",
            "telephone_number": "773-752-1506",
            "fax_number": "773-752-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606244225",
            "country_code": "US",
            "telephone_number": "773-533-1417",
            "fax_number": "773-533-7348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY CARE PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-375-3312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861538712",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861795486",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO/HMO",
            "identifier": "1861795486",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.