Look up the most recent NPI and PECOS records

Family Doctors/Family Healthcare

(<Unavail>)

Dermatology

Allopathic & Osteopathic Physicians

7100 Carpenter Rd, Skokie, IL 60077-3279

PECOS Enrollment

Based on the most recent information from CMS, provider Family Doctors/Family Healthcare does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1891021457
Provider Type
Organization
Full Name
Family Doctors/Family Healthcare
Other Name
<Unavail>

Subpart
No
Enumeration Date
11/2/2009
Last Updated
11/2/2009

Contact Information

Practice Location

7100 Carpenter Rd, Skokie, IL 60077-3279

(847) 673-5166

(847) 673-5636

Mailing Location

7100 Carpenter Rd, Skokie, IL 60077-3279

(847) 673-5166

(847) 673-5636

Authorized Official

Abdulmassih, Abdulmassih (Cfo)

(847) 673-5166

Provider Taxonomies

Code	Description	License
Code 207N00000X Primary	Description Dermatology Allopathic & Osteopathic Physicians	License Unlisted Issuer

Family Doctors/Family Healthcare

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Illinois Dermatology Institute, Llc

Menaker, Gregg M.

North Shore Dermatology, S.C.

Alexander, Jaime Beth

Derick Dermatology, Pllc

Ewing, Shannon M.

Lasser, Alan Eugene

Craig, Nona Marie

Patel, Avni

Lasser Dermatology, Llc