Illinois Mobile Home Physicians Corp.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ILLINOIS MOBILE HOME PHYSICIANS CORP.

Practice address

7250 W College Dr
1SW
Palos Heights, IL 60463-1151

Phone

(708) 448-9300

Fax

(708) 448-9380

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Amal A Salameh

Title

Director

Phone

(708) 448-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1376720045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 W COLLEGE DR",
            "address_2": "1SW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631151",
            "telephone_number": "708-448-9300",
            "fax_number": "708-448-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 W COLLEGE DR",
            "address_2": "1SW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631151",
            "telephone_number": "708-448-9300",
            "fax_number": "708-448-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS MOBILE HOME PHYSICIANS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SALAMEH",
        "authorized_official_first_name": "AMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-448-9300"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.