Organization Active NPI

Home Doctors for You

  • Family Medicine Physician
  • Hoffman Est, IL
National Provider Identifier
1194330977
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.