Provider Demographics
NPI:1245594829
Name:U.S. HOME PHYSICIANS, S.C.
Entity Type:Organization
Organization Name:U.S. HOME PHYSICIANS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEENAT
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAWAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-743-4664
Mailing Address - Street 1:9337 S OKETO AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-2173
Mailing Address - Country:US
Mailing Address - Phone:708-743-4664
Mailing Address - Fax:
Practice Address - Street 1:9337 S OKETO AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-2173
Practice Address - Country:US
Practice Address - Phone:708-743-4664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
IL036060644251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health