Provider Demographics
NPI:1578064077
Name:RELIABLE VISITING PHYSICIANS INC
Entity Type:Organization
Organization Name:RELIABLE VISITING PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADOLF VON
Authorized Official - Middle Name:
Authorized Official - Last Name:RANOCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-723-3527
Mailing Address - Street 1:7331 N LINCOLN AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1766
Mailing Address - Country:US
Mailing Address - Phone:773-860-9044
Mailing Address - Fax:
Practice Address - Street 1:500 W CENTRAL RD STE 204
Practice Address - Street 2:
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-2381
Practice Address - Country:US
Practice Address - Phone:847-376-8144
Practice Address - Fax:847-376-8597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty