Illiana Home Physician Services Inc
LBN: Illiana Home Physician Services Inc
Illiana Home Physician Services Inc is an health care organization with primary practice located at 1609 Sibley Blvd , Calumet City IL 60409-2217. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Illiana Home Physician Services Inc can be contacted via phone (773) 359-4757, or through Beckett, James via phone (773) 359-4757.
Contact Information
Primary practice address
1609 Sibley Blvd
Calumet City IL 60409-2217
Phone: (773) 359-4757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036087374 | Illinois |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 036087374 | Illinois |
Profile Details
| NPI number | 1508242629 |
|---|---|
| LBN Legal business name | Illiana Home Physician Services Inc |
| DBA Doing business as | |
| Authorized official | Beckett, James Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2015 |
| Last updated | Feb 19th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508242629 | NPPES |
| Illinois | MEDICAID | 036087374 |
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