Provider Demographics
NPI:1538500640
Name:CARE AT HOME PHYSICIANS, LLC
Entity Type:Organization
Organization Name:CARE AT HOME PHYSICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:HADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-242-6644
Mailing Address - Street 1:760 VILLAGE CENTER DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-4537
Mailing Address - Country:US
Mailing Address - Phone:630-242-6644
Mailing Address - Fax:630-655-8931
Practice Address - Street 1:760 VILLAGE CENTER DR
Practice Address - Street 2:SUITE 220
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-4537
Practice Address - Country:US
Practice Address - Phone:630-242-6644
Practice Address - Fax:630-655-8931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty