| Home Base Medical, S.c. | |
|
666 Dundee Rd Suite 307 Northbrook IL 60062-2727 | |
| (847) 231-2273 | |
| Not Available |
| Full Name | Home Base Medical, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 666 Dundee Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Jordan David Grumet (OWNER) |
| Authorized Official Contact | 8479425214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Base Medical, S.c. 666 Dundee Rd Suite 307 Northbrook IL 60062-2727 Ph: (847) 231-2273 | Home Base Medical, S.c. 666 Dundee Rd Suite 307 Northbrook IL 60062-2727 Ph: (847) 231-2273 |
| NPI Number | 1528491107 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528491107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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