Immediate Home Care Physicians Group P C | |
10714 S Roberts Rd Palos Hills IL 60465-2314 | |
(708) 631-1326 | |
Not Available |
Full Name | Immediate Home Care Physicians Group P C |
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Speciality | Family Medicine |
Location | 10714 S Roberts Rd, Palos Hills, Illinois |
Authorized Official Name and Position | Rajender S Dahiya (MEDICAL DIRECTOR) |
Authorized Official Contact | 7086311326 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Immediate Home Care Physicians Group P C 10714 S Roberts Rd Palos Hills IL 60465-2314 Ph: (708) 631-1326 | Immediate Home Care Physicians Group P C 10714 S Roberts Rd Palos Hills IL 60465-2314 Ph: (708) 631-1326 |
NPI Number | 1225670748 |
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Provider Enumeration Date | 10/16/2019 |
Last Update Date | 04/13/2020 |
Medicare PECOS PAC ID | 3678905965 |
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Medicare Enrollment ID | O20191106002860 |
Identifier | Type | State | Issuer |
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1225670748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rajender Dahiya |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033381439 PECOS PAC ID: 8022003326 Enrollment ID: I20040416000649 |
Provider Name | Frank Howard Parker |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1457388928 PECOS PAC ID: 4385633627 Enrollment ID: I20040511000735 |
Provider Name | Kalpana Mutyala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548705056 PECOS PAC ID: 5991086324 Enrollment ID: I20161227000517 |
Provider Name | Nahoma Omwanghe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437634748 PECOS PAC ID: 0345580817 Enrollment ID: I20190319003043 |
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