| Physicians House Calls | |
|
1580 N Northwest Hwy Ste 121a Park Ridge IL 60068-1462 | |
| (847) 813-5779 | |
| Not Available |
| Full Name | Physicians House Calls |
|---|---|
| Speciality | Family Medicine |
| Location | 1580 N Northwest Hwy Ste 121a, Park Ridge, Illinois |
| Authorized Official Name and Position | Maraiah Lylah M Nano (PRESIDENT) |
| Authorized Official Contact | 8478135779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians House Calls 1580 N Northwest Hwy Ste 121a Park Ridge IL 60068-1462 Ph: (847) 813-5779 | Physicians House Calls 1580 N Northwest Hwy Ste 121a Park Ridge IL 60068-1462 Ph: (847) 813-5779 |
| NPI Number | 1366000648 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 04/23/2025 |
| Medicare PECOS PAC ID | 2668708579 |
|---|---|
| Medicare Enrollment ID | O20241122001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366000648 | 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 | Karin Rawski-rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477927655 PECOS PAC ID: 0446551451 Enrollment ID: I20151216002471 |
| Provider Name | Ahmad Daif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326459553 PECOS PAC ID: 5890082317 Enrollment ID: I20181128000862 |
| Provider Name | Nicholas Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316553472 PECOS PAC ID: 1254714413 Enrollment ID: I20220821000088 |
| Provider Name | Melanie Durolfo-chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912756131 PECOS PAC ID: 9133666472 Enrollment ID: I20240803000502 |
| Provider Name | Delicia Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063252583 PECOS PAC ID: 7416498167 Enrollment ID: I20240920002016 |
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