| Physician At Home Inc. | |
|
16650 Harlem Ave Ste 1 Tinley Park IL 60477-1847 | |
| (708) 444-0484 | |
| (708) 444-0485 |
| Full Name | Physician At Home Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 16650 Harlem Ave Ste 1, Tinley Park, Illinois |
| Authorized Official Name and Position | Khurram Khan (MANAGER) |
| Authorized Official Contact | 7084440484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician At Home Inc. 16650 Harlem Ave Ste 1 Tinley Park IL 60477-1847 Ph: (708) 444-0484 | Physician At Home Inc. 16650 Harlem Ave Ste 1 Tinley Park IL 60477-1847 Ph: (708) 444-0484 |
| NPI Number | 1780991307 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780991307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Illinois) | Primary |
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