At Home Medical Practitioners LLC

NPI #1154069904 in Wilmette, Illinois

Provider Information

NPI Number: 1154069904
Entity Type: Organization
Organization Name: At Home Medical Practitioners LLC
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 139 MILLBROOK LN
City: Wilmette
State: Illinois
ZIP Code: 60091-2936
Phone: (224) 628-6981

Authorized Official

Name: MR. RANIER GULOY, NP
Title: PRESIDENT
Phone: (773) 971-9643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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