NPIMap

Organization Active NPI

Home Doctors Medical Practice PLLC

  • Family Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1346822129
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOME DOCTORS MEDICAL PRACTICE PLLC
Practice address
1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186
Phone
(847) 908-3471
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Bonifacio Runez
Title
Registered Agent
Phone
(847) 910-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186

Mailing address

1901 N Roselle Rd Ste 800
Schaumburg, IL 60195-3186
Phone (847) 908-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511000655 IL Part B Supplier - Clinic/Group Practice 9335558063 Receives reassigned benefits from 10 practitioners
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

1901 N Roselle Rd
Ste 822D
Schaumburg, IL 60195
Phone (847) 908-3471

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1346822129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 800",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953186",
            "telephone_number": "847-908-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 800",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953186",
            "telephone_number": "847-908-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DOCTORS MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "RUNEZ",
        "authorized_official_first_name": "BONIFACIO",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "847-910-4229"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.