YOUR HOME PHYSICIANS INC. NPI 1023253630

NPI Information

NPI: 1023253630
Provider Name: YOUR HOME PHYSICIANS, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
6405 N CAMPBELL AVE
CHICAGO, IL
ZIP 60645
Phone: (773) 465-0003
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YOUR HOME PHYSICIANS, INC. is a family nurse practitioner in Chicago, IL. YOUR HOME PHYSICIANS, INC. NPI is 1023253630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6405 N CAMPBELL AVE
CHICAGO, IL
ZIP 60645-313
Phone: (773) 465-0003
Fax: (773) 465-0004

The provider's authorized official is Regina M Mahmood .
The authorized official title is President and has the following contact phone number (773) 465-0003.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 12/10/2008.

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
1	207Q00000X	Family Medicine		263296680	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209006095	ILLINOIS	Yes

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
1	Q78696	MEDICARE UPIN	ILLINOIS

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

NPI Synchronization or Removal

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