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PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC NPI 1114458791


NPI Information

NPI: 1114458791
Provider Name: PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1026 N MAIN ST
ROCHELLE, IL
ZIP 61068
Phone: (773) 307-2648
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PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC is a general practice in Rochelle, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC NPI is 1114458791. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1026 N MAIN ST
ROCHELLE, IL
ZIP 61068-712
Phone: (773) 307-2648
Fax: (773) 942-7454

The provider's authorized official is Connie Perez .
The authorized official title is Office Manager and has the following contact phone number (773) 307-2648.

The enumeration date for this NPI number is 3/24/2017 and was last updated on 8/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036099959MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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