| Physicians House Calls | |
|
4508 W Belmont Ave Chicago IL 60641-4569 | |
| (312) 975-5134 | |
| Not Available |
| Full Name | Physicians House Calls |
|---|---|
| Speciality | Family Medicine |
| Location | 4508 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ana Angeles (CODER) |
| Authorized Official Contact | 8479838356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians House Calls 7331 N Lincoln Ave Ste 15 Lincolnwood IL 60712-1766 Ph: (847) 983-8356 | Physicians House Calls 4508 W Belmont Ave Chicago IL 60641-4569 Ph: (312) 975-5134 |
| NPI Number | 1366000648 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Medicare PECOS PAC ID | 2668708579 |
|---|---|
| Medicare Enrollment ID | O20241122001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366000648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Guadalupe S Sitjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497870315 PECOS PAC ID: 3971797168 Enrollment ID: I20101102000187 |
| Provider Name | Nicholas Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316553472 PECOS PAC ID: 1254714413 Enrollment ID: I20220821000088 |
| Provider Name | Melanie Durolfo-chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912756131 PECOS PAC ID: 9133666472 Enrollment ID: I20240803000502 |
| Provider Name | Delicia Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063252583 PECOS PAC ID: 7416498167 Enrollment ID: I20240920002016 |
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