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Organization
HOME PHYSICIANS 2011, PC
Active
Organization
HOME PHYSICIANS 2011, PC
Active
Parent organization
HOME PHYSICIANS 2011 PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME PHYSICIANS 2011 PC
Authorized official
GRACE BLUE (CREDENTIALING SR. MANAGER)
(773) 292-4800
Entity
Organization
Contact information
Practice address
525 W MONROE ST STE 1650, CHICAGO, IL 60661-3647
(773) 292-4800
(312) 564-4059
Mailing address
730 COOL SPRINGS BLVD STE 500, FRANKLIN, TN 37067-7331
(773) 292-4800
(312) 564-4059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/26/2011
Last updated
03/20/2025
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