Organization
HOMECARE DOCTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS G BALDOCEDA MD (OWNER)
(847) 813-6216
Entity
Organization
Contact information
Practice address
1480 RENAISSANCE DR, SUITE 414, PARK RIDGE, IL 60068-1332
(847) 813-6216
(847) 813-6217
Mailing address
1480 RENAISSANCE DR, SUITE 414, PARK RIDGE, IL 60068-1332
(847) 813-6216
(847) 813-6217
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
04/17/2014
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