| Physicians At Your Home, Llc | |
|
1629 N Natchez Ave Chicago IL 60707-4023 | |
| (630) 926-4225 | |
| Not Available |
| Full Name | Physicians At Your Home, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1629 N Natchez Ave, Chicago, Illinois |
| Authorized Official Name and Position | Habiba Seidu-fuseini (FNP-C) |
| Authorized Official Contact | 3092642256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians At Your Home, Llc 722 N Emroy Ave Elmhurst IL 60126-1710 Ph: (630) 926-4225 | Physicians At Your Home, Llc 1629 N Natchez Ave Chicago IL 60707-4023 Ph: (630) 926-4225 |
| NPI Number | 1639790884 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 6507284411 |
|---|---|
| Medicare Enrollment ID | O20200909001893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639790884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Habiba Seidu-fuseini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992037469 PECOS PAC ID: 0446582449 Enrollment ID: I20191024000233 |
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