Community Visiting Physicians LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COMMUNITY VISITING PHYSICIANS LLC

Practice address

229 W Grand Ave Ste R
Bensenville, IL 60106-3365

Phone

(630) 473-7963

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luqman Baloch

Title

President

Phone

(630) 473-7963

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Durolfo-Chavez, APRN

  • Family Nurse Practitioner
  • River Forest, IL
  • NPI 1912756131
  NPD
• Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Crete, IL
  • NPI 1346770914
  NPD
• Delicia Holmes

  • Nurse Practitioner
  • Park Ridge, IL
  • NPI 1063252583
  NPD
• Nicholas Johnson, APN

  • Gerontology Nurse Practitioner
  • Chicago, IL
  • NPI 1316553472

  Single Specialty

  NPD

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1497539969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W GRAND AVE STE R",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W GRAND AVE STE R",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063365",
            "telephone_number": "630-473-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY VISITING PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BALOCH",
        "authorized_official_first_name": "LUQMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-473-7963"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cho, PHARMD
• Clinical Wound Solutions, LLC
• Shawn J Coelho, PTA
• Francine Cohn, MA, LCPC, CADC
• Jamiah Coleman
• Ashley Crisanto
• Timothy John Cusmano, PHARMD
• Brian Dagamac, PHARM D
• Deepak T Dattani, RPH
• Frank Debenedictis, R.PH.

• Multi-Specialty Clinic/Center in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.