Provider Demographics
NPI:1336478080
Name:EXCELLENT HOME HEALTH PHYSICIANS INC.
Entity Type:Organization
Organization Name:EXCELLENT HOME HEALTH PHYSICIANS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:C
Authorized Official - Last Name:BADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-644-4098
Mailing Address - Street 1:7250 N CICERO AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1643
Mailing Address - Country:US
Mailing Address - Phone:847-673-2877
Mailing Address - Fax:847-673-2989
Practice Address - Street 1:7250 N CICERO AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1643
Practice Address - Country:US
Practice Address - Phone:847-673-2877
Practice Address - Fax:847-673-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty