# HOMECARE DOCTORS LLC

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

## Provider details

- **NPI number:** 1700129277
- **Authorized official:** DR. CARLOS G BALDOCEDA MD (OWNER)
- **Authorized official phone:** (847) 813-6216

## Contact information

- **Practice address:** 1480 RENAISSANCE DR, SUITE 414, PARK RIDGE, IL 60068-1332
- **Practice address phone:** (847) 813-6216
- **Practice address fax:** (847) 813-6217
- **Mailing address:** 1480 RENAISSANCE DR, SUITE 414, PARK RIDGE, IL 60068-1332
- **Mailing address phone:** (847) 813-6216
- **Mailing address fax:** (847) 813-6217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2013
- **Last updated:** 04/17/2014