Organization
ADVANCED PHYSICIANS HOME CARE LLC
Active
Parent organization
MDOC PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MDOC PC
Authorized official
AHTESHAM HYDER MD (OWNER)
(815) 914-1414
Entity
Organization
Contact information
Practice address
5 WOOD OAKS DR, SOUTH BARRINGTON, IL 60010-1092
(714) 348-8025
Mailing address
5 WOOD OAKS DR, SOUTH BARRINGTON, IL 60010-1092
(714) 348-8025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36112807
IL
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740207505
NATIONAL PROVIDER IDENTIFIER
—
Enumeration date
03/04/2015
Last updated
03/04/2015
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