Physician at Home Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PHYSICIAN AT HOME INC.

Practice address

16650 Harlem Ave Ste 1
Tinley Park, IL 60477-1847

Phone

(708) 444-0484

Fax

(708) 444-0485

NPI assigned

Sep 2, 2010

Last updated

Jan 14, 2011By 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

Mr. Khurram Khan

Title

Manager

Phone

(708) 444-0484

Specialties & licenses 1

Addresses

Locations

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.

• Carol Castile, PA

  • Physician Assistant
  • Harvey, IL
  • NPI 1982937694
  NPD (past)
• Camille N Stackhouse, PA

  • Physician Assistant
  • Arlington Heights, IL
  • NPI 1366674467
  NPD (past)
• Miriam Asya, APN

  • Family Nurse Practitioner
  • Hollywood, FL
  • NPI 1346481181
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1780991307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE STE 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-444-0484",
            "fax_number": "708-444-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE STE 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-444-0484",
            "fax_number": "708-444-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN AT HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-444-0484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Pettit, FNP
• Karen Fiona Phipps, RN BSN
• Physical Therapy & Spine Institute Limited Partnership
• Physical Therapy and Sports Injury Rehabilitation
• Physical Therapy Consultants, LTD.
• Physicians Choice Home Health Inc.
• Physicians Prompt Care Centers LLC
• Lauren Piekarz, LCPC, NCC, CCMHC
• Allen M Pielet, M.D.
• Jennifer L Pieroth, OTR/L

• Multi-Specialty Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.