Active NPI
Careproviders@Home
- Family Medicine Physician
- Des Plaines, IL
National Provider Identifier
1538879390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAREPROVIDERS@HOME
- Practice address
- 9052 W Oaks Ave
Des Plaines, IL 60016-4250 - Phone
- (224) 361-3270
- NPI assigned
- Dec 1, 2022
- Last updated
- Dec 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hellivie R Terrell
- Title
- Owner
- Phone
- (224) 361-3270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9052 W Oaks Ave
Des Plaines, IL 60016-4250
Mailing address
7331 N Lincoln Ave Ste 15
Lincolnwood, IL 60712-1766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01403722 | Other | CPC CERTIFICATE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669852800000",
"number": "1538879390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7331 N LINCOLN AVE STE 15",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9052 W OAKS AVE",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164250",
"telephone_number": "224-361-3270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREPROVIDERS@HOME",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A",
"authorized_official_last_name": "TERRELL",
"authorized_official_first_name": "HELLIVIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-361-3270"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPC CERTIFICATE",
"identifier": "01403722",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.