Active NPI
Illiana Home Physician Services Inc
- Case Manager/Care Coordinator
- Calumet City, IL
National Provider Identifier
1669938304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- ILLIANA HOME PHYSICIAN SERVICES INC
- Practice address
- 2100 Sibley Blvd
Calumet City, IL 60409-2153 - Phone
- (708) 933-0872
- NPI assigned
- Feb 19, 2019
- 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
- Dr. James Edward Beckett
- Title
- MD
- Phone
- (708) 341-6707
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2100 Sibley Blvd
Calumet City, IL 60409-2153
Mailing address
2100 Sibley Blvd
Calumet City, IL 60409-2153
Phone (708) 933-0872
National Provider Directory
National Provider DirectoryLocations
2100 Sibley Blvd
Calumet City, IL 60409
Phone (708) 646-7375
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Oak Lawn, IL
- NPI 1992704381
-
- Nurse Practitioner
- Orland Park, IL
- NPI 1528423019
-
- Nurse Practitioner
- Calumet City, IL
- NPI 1538639406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550534400000",
"number": "1669938304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 SIBLEY BLVD",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604092153",
"telephone_number": "708-933-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SIBLEY BLVD",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604092153",
"telephone_number": "708-933-0872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLIANA HOME PHYSICIAN SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A",
"authorized_official_last_name": "BECKETT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "708-341-6707",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.