Provider Demographics
NPI:1184951469
Name:HOME CARE PHYSICIANS, INC.
Entity type:Organization
Organization Name:HOME CARE PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYROSE
Authorized Official - Middle Name:TAMORO
Authorized Official - Last Name:LAZATIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-306-8224
Mailing Address - Street 1:290 SPRINGFIELD DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2214
Mailing Address - Country:US
Mailing Address - Phone:630-893-4444
Mailing Address - Fax:630-893-5555
Practice Address - Street 1:290 SPRINGFIELD DR
Practice Address - Street 2:SUITE 225
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2214
Practice Address - Country:US
Practice Address - Phone:630-893-4444
Practice Address - Fax:630-893-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-07
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty