| Physician Care At Home Management Company Llc | |
|
1026 N Main St Rochelle IL 61068-1712 | |
| (773) 307-2648 | |
| (773) 942-7454 |
| Full Name | Physician Care At Home Management Company Llc |
|---|---|
| Speciality | General Practice |
| Location | 1026 N Main St, Rochelle, Illinois |
| Authorized Official Name and Position | Connie Perez (OFFICE MANAGER) |
| Authorized Official Contact | 7733072648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Care At Home Management Company Llc 1026 N Main St Rochelle IL 61068-1712 Ph: (773) 307-2648 | Physician Care At Home Management Company Llc 1026 N Main St Rochelle IL 61068-1712 Ph: (773) 307-2648 |
| NPI Number | 1114458791 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 7911274170 |
|---|---|
| Medicare Enrollment ID | O20170519000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114458791 | NPI | - | NPPES |
| 036099959 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lori M Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629160965 PECOS PAC ID: 5799709945 Enrollment ID: I20070515000077 |
| Provider Name | Julie A Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144430323 PECOS PAC ID: 2567514235 Enrollment ID: I20090710000566 |
| Provider Name | Kamran Iqbal Khatri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821441619 PECOS PAC ID: 3375839178 Enrollment ID: I20160902000982 |
| Provider Name | Jocelyn T Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205346467 PECOS PAC ID: 3173899481 Enrollment ID: I20171031002168 |
Rochelle Family Health Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 N 2nd St, Rochelle, IL 61068 Phone: 815-562-3784 | |
Medcare Health Center Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1212 Currency Ct, Rochelle, IL 61068 Phone: 815-561-8500 Fax: 815-561-8501 | |
Rochelle Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 N 2nd St, Rochelle, IL 61068 Phone: 815-562-3784 | |
Surjit S Thiara Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 N Caron Rd, Rochelle, IL 61068 Phone: 815-562-4014 Fax: 815-562-5120 | |
Rochelle Community Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 N 2nd St Ste 200, Rochelle, IL 61068 Phone: 815-562-3784 Fax: 815-561-3149 | |
First Convenient Care Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Currency Ct, Rochelle, IL 61068 Phone: 815-231-6655 |