Physicians Home Care LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PHYSICIANS HOME CARE LLC

Practice address

1508 Bloomingdale Rd Ste B
Glendale Heights, IL 60139-2758

Phone

(331) 871-6674

Fax

(630) 914-8814

NPI assigned

Nov 24, 2022

Last updated

Jan 9, 2025By 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

Ms. Maryrose Tamoro Lazatin

Title

Office Manager

Phone

(331) 871-6674

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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.

• Srinivas-Prasad Reddy Jolepalem, M.D.

  • Internal Medicine Physician
  • Darien, IL
  • NPI 1568531564
  Medicare reassignment Care Compare group NPD
• Ahmed Hussain Memon, NP

  • Nurse Practitioner
  • Morton Grove, IL
  • NPI 1033693742
  Medicare reassignment Care Compare group NPD
• Baongoc Truong

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1275253866
  Medicare reassignment Care Compare group NPD
• Priscilla Marie Lowe, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1710721907
  Medicare reassignment Care Compare group
• Miteshkumar N Modi, PA-C

  • Physician Assistant
  • Marion, IL
  • NPI 1891829222
  Medicare reassignment Care Compare group
• Oladunni F Boladale, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1639743107

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1669248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1619687175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 BLOOMINGDALE RD STE B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392758",
            "telephone_number": "331-871-6674",
            "fax_number": "630-914-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 BLOOMINGDALE RD STE B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392758",
            "telephone_number": "331-871-6674",
            "fax_number": "630-914-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-24",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "LAZATIN",
        "authorized_official_first_name": "MARYROSE",
        "authorized_official_middle_name": "TAMORO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "331-871-6674",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Patel
• Seema Patel, PHARMD.
• Shriya Patel
• John Petrucci, DDS
• Jovin Philip, DPT
• Amit Pithva, D.D.S.
• Polpain Interventional Pain Management Center LTD.
• Madhuri Punaty, DMD
• Cho Pyone
• Umar Qadir

• Geriatric Medicine (Internal Medicine) Physician in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.