# HOME BASE MEDICAL, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528491107
- **Authorized official:** DR. JORDAN DAVID GRUMET MD (OWNER)
- **Authorized official phone:** (847) 942-5214

## Contact information

- **Practice address:** 666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
- **Practice address phone:** (847) 231-2273
- **Mailing address:** 666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
- **Mailing address phone:** (847) 231-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 08/19/2013