| Physician Services At Home S.c | |
|
900 Jorie Blvd Suite # 58c Oak Brook IL 60523-2213 | |
| (630) 590-3221 | |
| (630) 599-1350 |
| Full Name | Physician Services At Home S.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Jorie Blvd, Oak Brook, Illinois |
| Authorized Official Name and Position | Khalid F Ahmed (PRESIDENT) |
| Authorized Official Contact | 6305903221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Services At Home S.c 900 Jorie Blvd Suite # 58c Oak Brook IL 60523-2213 Ph: (630) 590-3221 | Physician Services At Home S.c 900 Jorie Blvd Suite # 58c Oak Brook IL 60523-2213 Ph: (630) 590-3221 |
| NPI Number | 1376804864 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376804864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036051565 (Illinois) | Primary |
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