OrganizationFamily Medical Care, LtdFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address965 Lake St, Oak Park, IL 60301-1292(708) 383-0400PECOS EnrollmentBased on the most recent information from CMS, provider Family Medical Care, Ltd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1831266923Provider TypeOrganizationFull NameFamily Medical Care, LtdSubpartNoEnumeration Date11/30/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address965 Lake St, Oak Park, IL 60301-1292Phone(708) 383-0400FaxUnlisted FaxMailing LocationMailing Address965 Lake St, Oak Park, IL 60301-1292Phone(708) 383-0400FaxUnlisted FaxAuthorized OfficialNameGryniewicz, Nancy (President)Phone(708) 383-0400Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID01632670DescriptionOtherIssuerBCBSIllinois