At Home Medical Practitioners Llc | |
139 Millbrook Ln Wilmette IL 60091-2936 | |
(224) 628-6981 | |
Not Available |
Full Name | At Home Medical Practitioners Llc |
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Speciality | Family Medicine |
Location | 139 Millbrook Ln, Wilmette, Illinois |
Authorized Official Name and Position | Ranier Guloy (PRESIDENT) |
Authorized Official Contact | 7739719643 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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At Home Medical Practitioners Llc 139 Millbrook Ln Wilmette IL 60091-2936 Ph: (224) 628-6981 | At Home Medical Practitioners Llc 139 Millbrook Ln Wilmette IL 60091-2936 Ph: (224) 628-6981 |
NPI Number | 1154069904 |
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Provider Enumeration Date | 05/23/2022 |
Last Update Date | 05/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154069904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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