Active NPI
Home Doctors for You
- Family Medicine Physician
- Hoffman Est, IL
National Provider Identifier
1194330977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HOME DOCTORS FOR YOU
- Practice address
- 670 Illinois Blvd
Hoffman Est, IL 60169-3363 - Phone
- (224) 201-2389
- NPI assigned
- Sep 9, 2020
- Last updated
- Sep 9, 2020
- 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
- Jacqueline Revita Runez
- Title
- President
- Phone
- (224) 201-2389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
670 Illinois Blvd
Hoffman Est, IL 60169-3363
Mailing address
7331 N Lincoln Ave Ste 15
Lincolnwood, IL 60712-1766
Phone (847) 983-8356
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599609600000",
"number": "1194330977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7331 N LINCOLN AVE STE 15",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121766",
"telephone_number": "847-983-8356",
"fax_number": "224-251-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 ILLINOIS BLVD",
"city": "HOFFMAN EST",
"state": "IL",
"postal_code": "601693363",
"telephone_number": "224-201-2389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME DOCTORS FOR YOU",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A",
"authorized_official_last_name": "RUNEZ",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "REVITA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "224-201-2389"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Est, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.