Provider Demographics
NPI:1578983086
Name:DOCTOR SERVICES AT HOME INC
Entity Type:Organization
Organization Name:DOCTOR SERVICES AT HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AAMIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-594-8955
Mailing Address - Street 1:2644 DEMPSTER ST
Mailing Address - Street 2:STE#100
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-8411
Mailing Address - Country:US
Mailing Address - Phone:563-594-8955
Mailing Address - Fax:
Practice Address - Street 1:2644 DEMPSTER ST
Practice Address - Street 2:STE#100
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-8411
Practice Address - Country:US
Practice Address - Phone:563-594-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty