Provider Demographics
NPI:1821525676
Name:DOCTORS FOR HOUSE CALLS LLC
Entity Type:Organization
Organization Name:DOCTORS FOR HOUSE CALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TENORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-410-7937
Mailing Address - Street 1:7301 N LINCOLN AVE
Mailing Address - Street 2:STE#121
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1709
Mailing Address - Country:US
Mailing Address - Phone:847-410-7937
Mailing Address - Fax:
Practice Address - Street 1:7301 N LINCOLN AVE
Practice Address - Street 2:STE#121
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1709
Practice Address - Country:US
Practice Address - Phone:847-410-7937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty