Organization
AT HOME PHYSICIANS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFONSO D ENRIQUEZ III (PRESIDENT)
(623) 755-3590
Entity
Organization
Contact information
Practice address
4957 I EAST HULL ST.,, SKOKIE, IL 60077
(623) 755-3590
(773) 561-3583
Mailing address
4957 I EAST HULL ST.,, SKOKIE, IL 60077
(623) 755-3590
(773) 561-3583
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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