Provider Demographics
NPI:1114035391
Name:WECARE FAMILY CLINIC LTD
Entity type:Organization
Organization Name:WECARE FAMILY CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:POZDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-453-8818
Mailing Address - Street 1:1181 CARBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60067-4289
Mailing Address - Country:US
Mailing Address - Phone:630-453-8819
Mailing Address - Fax:630-348-6248
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:WIMMER SUITE 204
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3361
Practice Address - Country:US
Practice Address - Phone:630-435-8819
Practice Address - Fax:630-348-6248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042-618891261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care