Organization Active NPI

At Home Medical Practitioners LLC

  • Family Medicine Physician
  • Wilmette, IL
National Provider Identifier
1154069904
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AT HOME MEDICAL PRACTITIONERS LLC
Practice address
139 Millbrook LN
Wilmette, IL 60091-2936
Phone
(224) 628-6981
NPI assigned
May 23, 2022
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Mr. Ranier Guloy, NP
Title
President
Phone
(773) 971-9643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

139 Millbrook LN
Wilmette, IL 60091-2936

Mailing address

139 Millbrook LN
Wilmette, IL 60091-2936
Phone (224) 628-6981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1154069904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MILLBROOK LN",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912936",
            "telephone_number": "224-628-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MILLBROOK LN",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912936",
            "telephone_number": "224-628-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME MEDICAL PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "GULOY",
        "authorized_official_first_name": "RANIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-971-9643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.