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HOME MD LLC. NPI 1912918699


NPI Information

NPI: 1912918699
Provider Name: HOME MD LLC.
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
3426 W ARMITAGE AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 772-8770
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HOME MD LLC. is a legal medicine in Chicago, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. HOME MD LLC. NPI is 1912918699. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3426 W ARMITAGE AVE
CHICAGO, IL
ZIP 60647-720
Phone: (773) 772-8770
Fax: (847) 307-8314

The provider's authorized official is Jesus Rene Dadivas .
The authorized official title is President and has the following contact phone number (773) 772-8770.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineILLINOISYes

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: 4/28/2024

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