NPIMap

Organization Active NPI

Family Home Care Physicians LLC

  • Internal Medicine Physician
  • Oak Forest, IL
National Provider Identifier
1699092429
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036051511 Issued in IL
Legal business name
FAMILY HOME CARE PHYSICIANS LLC
Practice address
6956 155TH PL
Oak Forest, IL 60452-1599
Phone
(708) 833-2412
Fax
(708) 961-2028
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Mr. Ryan Manguerra, RN
Title
Member/Owner
Phone
(708) 833-2412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036051511 IL Primary

Addresses

Primary practice location

6956 155TH PL
Oak Forest, IL 60452-1599

Mailing address

6956 155TH PL
Oak Forest, IL 60452-1599
Phone (708) 833-2412

National Provider Directory

National Provider Directory

Locations

13341 Southwest Hwy
Ste 1
Orland Park, IL 60462
Phone (708) 827-5608

Practitioners & affiliated clinicians

Practitioners 3

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": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1699092429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6956 155TH PL",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521599",
            "telephone_number": "708-833-2412",
            "fax_number": "708-961-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6956 155TH PL",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521599",
            "telephone_number": "708-833-2412",
            "fax_number": "708-961-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "MANGUERRA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "708-833-2412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036051511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.