Organization Active NPI

Housecall Doctors Professional Corporation

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1598162190
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOUSECALL DOCTORS PROFESSIONAL CORPORATION
Practice address
5875 N Lincoln Ave
Ste#120
Chicago, IL 60659-4672
Phone
(773) 901-8000
Fax
(773) 944-9800
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mohammed A Kassem, MD
Title
President
Phone
(773) 901-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5875 N Lincoln Ave
Ste#120
Chicago, IL 60659-4672

Mailing address

5875 N Lincoln Ave
Ste#120
Chicago, IL 60659-4672
Phone (773) 901-8000

National Provider Directory

National Provider Directory

Locations

5875 N Lincoln Ave
Ste 120
Chicago, IL 60659
Phone (773) 901-8000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1598162190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE",
            "address_2": "STE#120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "773-901-8000",
            "fax_number": "773-944-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE",
            "address_2": "STE#120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "773-901-8000",
            "fax_number": "773-944-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALL DOCTORS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-901-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 25, 2014; 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.