| Devon Homecare Physicians Inc. | |
|
2822 W. Granville Ave. Apt 1 Chicago IL 60659 | |
| (872) 806-3340 | |
| Not Available |
| Full Name | Devon Homecare Physicians Inc. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2822 W. Granville Ave. Apt 1, Chicago, Illinois |
| Authorized Official Name and Position | Mohammed J Khan (PRESIDENT) |
| Authorized Official Contact | 8728063340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devon Homecare Physicians Inc. 2822 W. Granville Ave. Apt 1 Chicago IL 60659 Ph: (872) 806-3340 | Devon Homecare Physicians Inc. 2822 W. Granville Ave. Apt 1 Chicago IL 60659 Ph: (872) 806-3340 |
| NPI Number | 1043811425 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043811425 | NPI | - | NPPES |
| 036109208 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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