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Organization

PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE PEREZ (OFFICE MANAGER)
(773) 307-2648
Entity
Organization

Contact information

Practice address
1026 N MAIN ST, ROCHELLE, IL 61068-1712
(773) 307-2648
(773) 942-7454
Mailing address
1026 N MAIN ST, ROCHELLE, IL 61068-1712
(773) 307-2648

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036099959
IL
Enumeration date
03/24/2017
Last updated
08/09/2021
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