| Housecall Health Group Inc | |
|
8251 W. Elizabeth Ave. 2s Niles IL 60714 | |
| (847) 387-2524 | |
| Not Available |
| Full Name | Housecall Health Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8251 W. Elizabeth Ave., Niles, Illinois |
| Authorized Official Name and Position | Maraiah Lylah Nano (PRESIDENT) |
| Authorized Official Contact | 8473872524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Housecall Health Group Inc 8251 W. Elizabeth Ave. 2s Niles IL 60714 Ph: (847) 387-2524 | Housecall Health Group Inc 8251 W. Elizabeth Ave. 2s Niles IL 60714 Ph: (847) 387-2524 |
| NPI Number | 1649091083 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 3173052636 |
|---|---|
| Medicare Enrollment ID | O20250128004643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649091083 | 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 | Mark Norbert Guiab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346770914 PECOS PAC ID: 7113284142 Enrollment ID: I20171130000210 |
| Provider Name | Rachel Amodu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819219 PECOS PAC ID: 7113396441 Enrollment ID: I20221208002225 |
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