| Home Doctors Medical Practice Pllc | |
|
1901 N Roselle Rd Ste 800 Schaumburg IL 60195-3186 | |
| (847) 908-3471 | |
| Not Available |
| Full Name | Home Doctors Medical Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 N Roselle Rd Ste 800, Schaumburg, Illinois |
| Authorized Official Name and Position | Bonifacio Runez (REGISTERED AGENT) |
| Authorized Official Contact | 8479104229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Doctors Medical Practice Pllc 1901 N Roselle Rd Ste 800 Schaumburg IL 60195-3186 Ph: (847) 908-3471 | Home Doctors Medical Practice Pllc 1901 N Roselle Rd Ste 800 Schaumburg IL 60195-3186 Ph: (847) 908-3471 |
| NPI Number | 1346822129 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 12/29/2021 |
| Medicare PECOS PAC ID | 9335558063 |
|---|---|
| Medicare Enrollment ID | O20210511000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346822129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle Alexandre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477604791 PECOS PAC ID: 0143115576 Enrollment ID: I20040216000973 |
| Provider Name | Kiritkumar Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154401198 PECOS PAC ID: 8527950187 Enrollment ID: I20040327000335 |
| Provider Name | Kalpana Mutyala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548705056 PECOS PAC ID: 5991086324 Enrollment ID: I20161227000517 |
| Provider Name | Arvie Calabazaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104362755 PECOS PAC ID: 5496037145 Enrollment ID: I20170113000041 |
| Provider Name | Christine Mary C Paran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982185450 PECOS PAC ID: 4486907912 Enrollment ID: I20181030001177 |
| Provider Name | Jinu Joss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681455 PECOS PAC ID: 7214363019 Enrollment ID: I20200213001770 |
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