Provider Demographics
NPI:1992092753
Name:FIRST CARE FAMILY CLINIC, S.C.
Entity type:Organization
Organization Name:FIRST CARE FAMILY CLINIC, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAADIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAHEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-802-0022
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-0095
Mailing Address - Country:US
Mailing Address - Phone:815-802-0000
Mailing Address - Fax:815-935-1000
Practice Address - Street 1:70 MEADOWVIEW CTR
Practice Address - Street 2:SUITE 200
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-2047
Practice Address - Country:US
Practice Address - Phone:815-802-0000
Practice Address - Fax:815-935-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty