Provider Demographics
NPI:1417433574
Name:HOUSE CALL INC
Entity Type:Organization
Organization Name:HOUSE CALL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:USMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-560-9648
Mailing Address - Street 1:5811 W IVYBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-9289
Mailing Address - Country:US
Mailing Address - Phone:314-560-9648
Mailing Address - Fax:309-620-8751
Practice Address - Street 1:1021 COURT ST STE B
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-4807
Practice Address - Country:US
Practice Address - Phone:309-642-6705
Practice Address - Fax:309-620-8751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service