LR Health Management, Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

LR HEALTH MANAGEMENT, INC

Doing business as

Home Doctors, Inc

Practice address

1204 S 57TH Ave
Cicero, IL 60804-1148

Phone

(312) 375-7145

Fax

(708) 652-5424

NPI assigned

May 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Divinegrace Labao

Title

Owner/President

Phone

(312) 375-7145

Specialties & licenses 1

Addresses

Other names 1

• Home Doctors, Inc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306540800000",
    "number": "1073807707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 S 57TH AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041148",
            "telephone_number": "312-375-7145",
            "fax_number": "708-652-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 S 57TH AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041148",
            "telephone_number": "312-375-7145",
            "fax_number": "708-652-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LR HEALTH MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-28",
        "last_updated": "2011-05-28",
        "status": "A",
        "authorized_official_last_name": "LABAO",
        "authorized_official_first_name": "DIVINEGRACE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-375-7145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Doctors, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geriatric Medicine (Family Medicine) Physician in Cicero, IL
• Providers in Cicero, IL by specialty
• Geriatric Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.