Provider Demographics
NPI:1467745646
Name:HOME VISITING DOCTORS LLC
Entity Type:Organization
Organization Name:HOME VISITING DOCTORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NOMAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AZEEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-290-8550
Mailing Address - Street 1:PO BOX 7163
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-7163
Mailing Address - Country:US
Mailing Address - Phone:630-290-8550
Mailing Address - Fax:
Practice Address - Street 1:9865 W ROOSEVELT RD
Practice Address - Street 2:SUITE 203-F
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2767
Practice Address - Country:US
Practice Address - Phone:630-290-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-22
Last Update Date:2011-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty