NPIMap

Organization Active NPI

Housecall Physicians Group of Rockford S C

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1619900040
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOUSECALL PHYSICIANS GROUP OF ROCKFORD S C
Practice address
124 N Water St
Suite 208
Rockford, IL 61107-3960
Phone
(815) 312-5810
Fax
(815) 312-5811
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Dr. Charles S. Dehaan, M.D.NPI 1144392499
Title
President
Phone
(815) 312-5810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

124 N Water St
Suite 208
Rockford, IL 61107-3960

Mailing address

124 N Water St
Suite 208
Rockford, IL 61107-3960
Phone (815) 312-5810

Other names 1

  • House Calls of Greater Chicago, S.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

7479 Walton St
Ste 4
Rockford, IL 61108
Phone (815) 986-2610

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1619900040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N WATER ST",
            "address_2": "SUITE 208",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073960",
            "telephone_number": "815-312-5810",
            "fax_number": "815-312-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N WATER ST",
            "address_2": "SUITE 208",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073960",
            "telephone_number": "815-312-5810",
            "fax_number": "815-312-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALL PHYSICIANS GROUP OF ROCKFORD S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "DEHAAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-312-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House Calls of Greater Chicago, S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.