Physician Services at Home S.c

NPI #1376804864 in Oak Brook, Illinois

Provider Information

NPI Number: 1376804864
Entity Type: Organization
Organization Name: Physician Services at Home S.c
Primary Specialty: Internal Medicine
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 900 JORIE BLVD
Address 2: SUITE # 58C
City: Oak Brook
State: Illinois
ZIP Code: 60523-2213
Phone: (630) 590-3221

Authorized Official

Name: KHALID F AHMED
Title: PRESIDENT
Phone: (630) 590-3221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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