Physician Services at Home S.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036051565 Issued in IL

Legal business name

PHYSICIAN SERVICES AT HOME S.C

Practice address

900 Jorie Blvd
Suite # 58C
Oak Brook, IL 60523-2213

Phone

(630) 590-3221

Fax

(630) 599-1350

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Khalid F AhmedNPI 1922172006

Title

President

Phone

(630) 590-3221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Khalid F Ahmed, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1922172006
  NPD Authorized official

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1376804864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE # 58C",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-590-3221",
            "fax_number": "630-599-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE # 58C",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-590-3221",
            "fax_number": "630-599-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SERVICES AT HOME S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-590-3221"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036051565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Perrotta, PH.D.
• Emily Peterson, MOT
• Stephanie Petrey, LCPC
• Nida M Petronis, RPH
• Mitchell Clinton Phelps, MSW, CRSS
• Jill Pickens, D.C.
• William S. Piekarz, LCSW
• Linda Sue Pionto, LCPC LICENSED CLINIC
• Kierstyn Piper
• Madeleine Piper

• Internal Medicine Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.