Active NPI
Home Visiting Doctors Medical Group LLC
- Primary Care Clinic/Center
- Bolingbrook, IL
National Provider Identifier
1023801800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HOME VISITING DOCTORS MEDICAL GROUP LLC
- Practice address
- 545 White Oak Rd
Bolingbrook, IL 60440-2506 - Phone
- (847) 407-9676
- Fax
- (240) 368-1235
- NPI assigned
- May 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gemmalaine M Simbahan
- Title
- MBR
- Phone
- (847) 407-9676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
545 White Oak Rd
Bolingbrook, IL 60440-2506
Mailing address
545 White Oak Rd
Bolingbrook, IL 60440-2506
Phone (847) 407-9676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1457092868
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1669079018
-
- General Practice Physician
- Chicago, IL
- NPI 1063534121
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1982145967
-
- Nurse Practitioner
- Chicago, IL
- NPI 1154121044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1023801800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 WHITE OAK RD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402506",
"telephone_number": "847-407-9676",
"fax_number": "240-368-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 WHITE OAK RD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402506",
"telephone_number": "847-407-9676",
"fax_number": "240-368-1235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME VISITING DOCTORS MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A",
"authorized_official_last_name": "SIMBAHAN",
"authorized_official_first_name": "GEMMALAINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "847-407-9676"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.