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Organization

YOUR HOME PHYSICIANS, INC.

Active
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Organization

YOUR HOME PHYSICIANS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA M MAHMOOD ADV. PRACTICE NURSE (PRESIDENT)
(773) 465-0003
Entity
Organization

Contact information

Practice address
6405 N CAMPBELL AVE, CHICAGO, IL 60645-5313
(773) 465-0003
(773) 465-0004
Mailing address
6405 N CAMPBELL AVE, CHICAGO, IL 60645-5313
(773) 465-0003
(773) 465-0004

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
263296680
IL
363LF0000X
Family Nurse Practitioner
Primary
209006095
IL

Other

Enumeration date
12/10/2008
Last updated
12/10/2008
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