Home Visiting Physician Group INC

NPI #1184031155 in Pekin, Illinois

Provider Information

NPI Number: 1184031155
Entity Type: Organization
Organization Name: Home Visiting Physician Group INC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 22, 2014
Last Updated: Jul 22, 2014

Practice Location

Address: 1021 COURT STREET
Address 2: SUITE B
City: Pekin
State: Illinois
ZIP Code: 61554
Phone: (309) 267-2034

Authorized Official

Name: DR. JAMALUDDIN F AMANULLAH, MD
Title: PARTNER
Phone: (309) 267-2034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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