| Home Physicians Of Illinois Llc | |
|
5940 W Touhy Ave Ste 195 Niles IL 60714-4638 | |
| (847) 213-0599 | |
| Not Available |
| Full Name | Home Physicians Of Illinois Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5940 W Touhy Ave Ste 195, Niles, Illinois |
| Authorized Official Name and Position | January Bering Serrano (PRESIDENT/OWNER) |
| Authorized Official Contact | 3128068102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Physicians Of Illinois Llc 507 W Walnut Ave Des Plaines IL 60016-5817 Ph: (224) 251-8149 | Home Physicians Of Illinois Llc 5940 W Touhy Ave Ste 195 Niles IL 60714-4638 Ph: (847) 213-0599 |
| NPI Number | 1841703584 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 04/18/2025 |
| Medicare PECOS PAC ID | 7012276173 |
|---|---|
| Medicare Enrollment ID | O20180117002250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841703584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Zarina Merchant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154376572 PECOS PAC ID: 1052392081 Enrollment ID: I20040526000781 |
| Provider Name | Rosita S Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184712887 PECOS PAC ID: 9335102623 Enrollment ID: I20041201000562 |
| Provider Name | Wilfredo G Dacuycuy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818545 PECOS PAC ID: 6709844608 Enrollment ID: I20041223000093 |
| Provider Name | Mohammad A Toor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841289691 PECOS PAC ID: 2264426212 Enrollment ID: I20050628000341 |
| Provider Name | Yongsoo Kwon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043478555 PECOS PAC ID: 8022246743 Enrollment ID: I20140102000067 |
| Provider Name | Roger John F Golingan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487036752 PECOS PAC ID: 6800100629 Enrollment ID: I20150806010576 |
| Provider Name | Leroy M Lambey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754039 PECOS PAC ID: 9830448885 Enrollment ID: I20180823002743 |
| Provider Name | Tiraney C Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538639406 PECOS PAC ID: 8820324270 Enrollment ID: I20190724000338 |
| Provider Name | Alex Htun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326546201 PECOS PAC ID: 8527484633 Enrollment ID: I20201009001286 |
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