Provider Demographics
NPI:1831520071
Name:PHYSICIAN AT YOUR DOOR
Entity type:Organization
Organization Name:PHYSICIAN AT YOUR DOOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-401-6779
Mailing Address - Street 1:218 EAGLE CT
Mailing Address - Street 2:UNIT#D
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-5732
Mailing Address - Country:US
Mailing Address - Phone:630-401-6779
Mailing Address - Fax:
Practice Address - Street 1:218 EAGLE CT
Practice Address - Street 2:UNIT#D
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-5732
Practice Address - Country:US
Practice Address - Phone:630-401-6779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty