Provider Demographics
NPI:1225670748
Name:IMMEDIATE HOME CARE PHYSICIANS GROUP P C
Entity Type:Organization
Organization Name:IMMEDIATE HOME CARE PHYSICIANS GROUP P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAJENDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAHIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-631-1326
Mailing Address - Street 1:10714 S ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-2314
Mailing Address - Country:US
Mailing Address - Phone:708-631-1326
Mailing Address - Fax:
Practice Address - Street 1:10714 S ROBERTS RD
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-2314
Practice Address - Country:US
Practice Address - Phone:708-631-1326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty