Active NPI
Visiting Physician at Home LLC
- Health Maintenance Organization
- Northbrook, IL
National Provider Identifier
1144644592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- VISITING PHYSICIAN AT HOME LLC
- Practice address
- 2970 Maria Ave
Suite 102a
Northbrook, IL 60062-2017 - Phone
- (847) 917-3664
- Fax
- (224) 538-3038
- NPI assigned
- Feb 5, 2014
- 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
- Ms. Sukhwinder K Singh
- Title
- Office Manager
- Phone
- (847) 917-3664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
2970 Maria Ave
Suite 102a
Northbrook, IL 60062-2017
Mailing address
2119 Beaver Creek Dr
Vernon Hills, IL 60061-3812
Phone (847) 917-3664
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1144644592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 BEAVER CREEK DR",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613812",
"telephone_number": "847-917-3664",
"fax_number": "225-538-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 MARIA AVE",
"address_2": "SUITE 102A",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622017",
"telephone_number": "847-917-3664",
"fax_number": "224-538-3038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING PHYSICIAN AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "SUKHWINDER",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "847-917-3664",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.