PHYSICIAN AT HOME INC. – NPI #1780991307
Clinic/Center

PHYSICIAN AT HOME INC. is an AHC clinic located in TINLEY PARK, IL. NPPES has assigned the NPI number 1780991307 to PHYSICIAN AT HOME INC. on September 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 15 years ago on Jan 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSICIAN AT HOME INC. below.

NPI Profile for
PHYSICIAN AT HOME INC.

NPI Number
1780991307
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIAN AT HOME INC.
Primary location
16650 HARLEM AVE STE 1
TINLEY PARK, IL 60477-1847
Phone: (708) 444-0484 Fax: (708) 444-0485
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KHURRAM KHAN
MANAGER
Phone: (708) 444-0484
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.