Active NPI
Home Physicians 2011, PC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1417235359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HOME PHYSICIANS 2011, PC
- Practice address
- 525 W Monroe St Ste 1650
Chicago, IL 60661-3647 - Phone
- (773) 292-4800
- Fax
- (312) 564-4059
- NPI assigned
- Jul 26, 2011
- Organization subpart
- Yes
- Parent organization
- HOME PHYSICIANS 2011 PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Blue
- Title
- Credentialing Sr. Manager
- Phone
- (773) 292-4800
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Podiatrist | 213E00000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
525 W Monroe St Ste 1650
Chicago, IL 60661-3647
Mailing address
730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331
Phone (773) 292-4800
National Provider Directory
National Provider Directory- Part of
- Home Physicians
Locations
2003 W Fulton St
Fl 3
Chicago, IL 60612
Phone (312) 243-2223
1340 S Damen Ave
Ste 210
Chicago, IL 60608
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- King of Prussia, PA
- NPI 1003043803
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1184677742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1417235359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 COOL SPRINGS BLVD STE 500",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677331",
"telephone_number": "773-292-4800",
"fax_number": "312-564-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W MONROE ST STE 1650",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606613647",
"telephone_number": "773-292-4800",
"fax_number": "312-564-4059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME PHYSICIANS 2011, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOME PHYSICIANS 2011 PC",
"enumeration_date": "2011-07-26",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A",
"authorized_official_last_name": "BLUE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "CREDENTIALING SR. MANAGER",
"authorized_official_telephone_number": "773-292-4800"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.