Organization
HOME HEALTH PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHA A. CANO (HUMAN RESOURCES PERSONAL)
(773) 290-8124
Entity
Organization
Contact information
Practice address
4958 W IRVING PARK RD, CHICAGO, IL 60641-2640
(773) 290-8124
Mailing address
4958 W IRVING PARK RD, CHICAGO, IL 60641-2640
(773) 290-8124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36112029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36112029
—
IL
Enumeration date
07/17/2006
Last updated
07/21/2022
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