PHYSICIAN AT HOME INC. NPI 1780991307

NPI Information

  • NPI: 1780991307
  • Provider Name: PHYSICIAN AT HOME INC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 16650 HARLEM AVE STE 1
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 444-0484

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NPI Details

PHYSICIAN AT HOME INC. is a multi-specialty clinic center in Tinley Park, IL. PHYSICIAN AT HOME INC. NPI is 1780991307. The provider is registered as an organization entity type.

The provider's business location address is:

16650 HARLEM AVE STE 1
TINLEY PARK, IL
ZIP 60477-847
Phone: (708) 444-0484
Fax: (708) 444-0485

The provider's authorized official is Khurram Khan .
The authorized official title is Manager and has the following contact phone number (708) 444-0484.

The enumeration date for this NPI number is 9/2/2010 and was last updated on 1/14/2011.

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
1261QM1300XClinic/CenterMulti-SpecialtyILLINOISYes

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: 11/21/2025

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