Organization Active NPI

Visiting Physician at Home LLC

  • Health Maintenance Organization
  • Northbrook, IL
National Provider Identifier
1144644592
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Feb 5, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.