At Home Physicians Services, LLC

NPI #1003238098 in Skokie, Illinois

Provider Information

NPI Number: 1003238098
Entity Type: Organization
Organization Name: At Home Physicians Services, LLC
Primary Specialty: Community Health Worker
Enumeration Date: Jan 10, 2014
Last Updated: Jan 10, 2014

Practice Location

Address: 4957 I EAST HULL ST.,
City: Skokie
State: Illinois
ZIP Code: 60077
Phone: (623) 755-3590

Authorized Official

Name: MR. ALFONSO D ENRIQUEZ III
Title: PRESIDENT
Phone: (623) 755-3590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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