Home Base Medical, S.c.

NPI #1528491107 in Northbrook, Illinois

Provider Information

NPI Number: 1528491107
Entity Type: Organization
Organization Name: Home Base Medical, S.c.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 19, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 666 DUNDEE RD
Address 2: SUITE 307
City: Northbrook
State: Illinois
ZIP Code: 60062-2727
Phone: (847) 231-2273

Authorized Official

Name: DR. JORDAN DAVID GRUMET, MD
Title: OWNER
Phone: (847) 942-5214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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