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Organization

AT HOME MEDICAL PRACTITIONERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANIER GULOY NP (PRESIDENT)
(773) 971-9643
Entity
Organization

Contact information

Practice address
139 MILLBROOK LN, WILMETTE, IL 60091-2936
(224) 628-6981
Mailing address
139 MILLBROOK LN, WILMETTE, IL 60091-2936
(224) 628-6981

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/23/2022
Last updated
05/23/2022
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