| Medical Home Care Inc | |
|
167 W Boughton Rd Ste C Bolingbrook IL 60440-1945 | |
| (331) 871-6674 | |
| Not Available |
| Full Name | Medical Home Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 167 W Boughton Rd Ste C, Bolingbrook, Illinois |
| Authorized Official Name and Position | Maryrose Tamoro Lazatin (OFFICE MANAGER) |
| Authorized Official Contact | 3318716674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Home Care Inc 167 W Boughton Rd Ste C Bolingbrook IL 60440-1945 Ph: (331) 871-6674 | Medical Home Care Inc 167 W Boughton Rd Ste C Bolingbrook IL 60440-1945 Ph: (331) 871-6674 |
| NPI Number | 1053047142 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Medicare PECOS PAC ID | 1456713379 |
|---|---|
| Medicare Enrollment ID | O20230809002471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053047142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Bernie C Ranchero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568656445 PECOS PAC ID: 4981743218 Enrollment ID: I20091130000405 |
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