Provider Demographics
NPI:1881063147
Name:STELLAR HOME PHYSICIANS INC
Entity type:Organization
Organization Name:STELLAR HOME PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEDOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-583-0921
Mailing Address - Street 1:3530 W PETERSON AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3293
Mailing Address - Country:US
Mailing Address - Phone:773-859-5415
Mailing Address - Fax:773-831-1706
Practice Address - Street 1:3530 W PETERSON AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3293
Practice Address - Country:US
Practice Address - Phone:847-436-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty