Provider Demographics
NPI:1811496979
Name:VISITING PHYSICIANS HOME CARE S.C.
Entity type:Organization
Organization Name:VISITING PHYSICIANS HOME CARE S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASADULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-300-6692
Mailing Address - Street 1:3030 CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:STEGER
Mailing Address - State:IL
Mailing Address - Zip Code:60475-1055
Mailing Address - Country:US
Mailing Address - Phone:708-300-6692
Mailing Address - Fax:
Practice Address - Street 1:3030 CHICAGO RD
Practice Address - Street 2:
Practice Address - City:STEGER
Practice Address - State:IL
Practice Address - Zip Code:60475-1055
Practice Address - Country:US
Practice Address - Phone:708-300-6692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty