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Illinois Home Providers, Inc
Adult Medicine Physician in Northfield, Illinois
NPI 1972951192

Illinois Home Providers, Inc is an Adult Medicine Physician based in Northfield, IL and is specialized in Adult Medicine. Illinois Home Providers, Inc practices in Northfield, IL. The NPI Number for Illinois Home Providers, Inc is 1972951192 and holds a License No. (Illinois).

The current practice location address for Illinois Home Providers, Inc is 540 W Frontage Rd, Northfield, IL and can be reached out via phone at 224-505-5907 and via fax at 224-255-6057.

Location: 540 W Frontage Rd, Northfield, IL, 60093-1250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972951192
Provider Name
Illinois Home Providers, Inc
Credential
Provider Entity Type
Organization
Address
540 W Frontage Rd, Northfield, IL, 60093-1250
Phone Number
224-505-5907
Fax Number
224-255-6057
Provider Enumeration Date
05/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340766270001 05 IL
institution
Provider Business Practice Location Address Details
Address
540 W Frontage Rd
City
Northfield
State
Illinois
Zip
60093-1250
Phone Number
224-505-5907
Fax Number
224-255-6057
person
Provider Business Mailing Address Details
Address
540 W Frontage Rd
City
Northfield
State
Illinois
Zip
60093-1250
Phone Number
224-505-5907
Fax Number
224-255-6057
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
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Definition
Definition to come.
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