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FAMILY DOC, INC.
NPI 1700117942
Family Medicine in Chicago, IL

Active since January 28, 2010
7207 S STONY ISLAND AVE, CHICAGO, IL 60649(773) 940-1612(773) 940-1567 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Family Doc, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY DOC, INC. (NPI 1700117942) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since January 2010. The organization lists Adebayo Adel Bademosi, President, as its authorized official.

NPPES Registry Identity

NPI1700117942
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY DOC, INC.
Location Address7207 S STONY ISLAND AVEChicago, IL 60649-2806
Mailing Address7207 S Stony Island AveChicago, IL 60649-2806 · (773) 940-1612 · Fax (773) 940-1567
Phone(773) 940-1612
Fax(773) 940-1567
Organization SubpartNo
Authorized OfficialAdebayo Adel BademosiPresident · (773) 940-1612
Enumeration DateJanuary 28, 2010
Last NPPES UpdateApril 29, 2013
✔ NPI 1700117942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7207 S STONY ISLAND AVE, Chicago, IL 60649
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Other Identifiers 2

Medicare UPIN702060IL
Medicaid036101658IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Doc, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Family Doc, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Allison Lund
Nurse Practitioner
NPI 1922975622
7201 S STONY ISLAND AVE
Chicago, IL 60649
(773) 639-1335
✔ PECOSSame address
Riskat Fadonougbo, PMHNP
Nurse Practitioner
NPI 1154967230
800 E 55TH ST
Chicago, IL 60615
(773) 702-0660
✔ PECOS✔ Accepts Medicare2.4 mi
Brandy Wade, FNP-BC
Certified Clinical Nurse Specialist (CNS)
NPI 1962279489
2535 S KING DR
Chicago, IL 60616
(312) 674-5972
✔ PECOS6.0 mi
Miyako Streeter, FNP
Nurse Practitioner
NPI 1225501356
31 SIBLEY ST STE A
Hammond, IN 46320
(219) 802-8800
✔ PECOS10 mi
Annie White, APRN, CNP
Nurse Practitioner
NPI 1780271247
345 MADISON ST
Oak Park, IL 60302
(931) 998-3097
✔ PECOS✔ Accepts Medicare13 mi
Adelanke Bademosi, M.D.
Emergency Medicine
NPI 1346357076
7905 CALUMET AVE
Munster, IN 46321
(219) 836-5800
✔ PECOS✔ Accepts Medicare14 mi
David Walters, FNP-BC
Nurse Practitioner
NPI 1780303735
2211 N OAK PARK AVE
Chicago, IL 60707
(773) 622-5400
✔ PECOS15 mi
Ebonie Williams, FNP-BC
Nurse Practitioner
NPI 1871002675
11641 SUNDANCE TRL
Mokena, IL 60448
(708) 715-2035
✔ PECOS24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Doc, Inc.'s NPI number?

The NPI number for Family Doc, Inc. is 1700117942. It was assigned to this organization in the NPPES registry on January 28, 2010.

Where is Family Doc, Inc. located?

Family Doc, Inc. is located at 7207 S Stony Island Ave, Chicago, IL 60649. The listed phone number is (773) 940-1612.

What is Family Doc, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Doc, Inc. enrolled in Medicare?

Yes. Family Doc, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Doc, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Doc, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Certified Clinical Nurse Specialist (CNS) (1) and Emergency Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Doc, Inc. was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.