| At Home Medical Practitioners Llc | |
|
139 Millbrook Ln Wilmette IL 60091-2936 | |
| (224) 628-6981 | |
| Not Available |
| Full Name | At Home Medical Practitioners Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 139 Millbrook Ln, Wilmette, Illinois |
| Authorized Official Name and Position | Ranier Guloy (PRESIDENT) |
| Authorized Official Contact | 7739719643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 9739568528 |
|---|---|
| Medicare Enrollment ID | O20220624001946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154069904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wilfredo G Dacuycuy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818545 PECOS PAC ID: 6709844608 Enrollment ID: I20041223000093 |
| Provider Name | Ranier T Guloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952764722 PECOS PAC ID: 9436441995 Enrollment ID: I20160705000306 |
| Provider Name | Jose Francis P Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770947368 PECOS PAC ID: 2365735495 Enrollment ID: I20160726002997 |
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