Provider Demographics
NPI:1598703191
Name:HOUSE CALL PHYSICIANS LLC
Entity Type:Organization
Organization Name:HOUSE CALL PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJ -KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-974-9999
Mailing Address - Street 1:10661 S ROBERTS RD
Mailing Address - Street 2:103
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1954
Mailing Address - Country:US
Mailing Address - Phone:708-974-9999
Mailing Address - Fax:708-974-9985
Practice Address - Street 1:10661 S ROBERTS RD
Practice Address - Street 2:103
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-1954
Practice Address - Country:US
Practice Address - Phone:708-974-9999
Practice Address - Fax:708-974-9985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213569Medicare ID - Type Unspecified