NPIMap

Organization Active NPI

Home Physicians of Illinois LLC

  • Adult Medicine Physician
  • Niles, IL
National Provider Identifier
1841703584
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HOME PHYSICIANS OF ILLINOIS LLC
Practice address
5940 W Touhy Ave Ste 195
Niles, IL 60714-4638
Phone
(847) 213-0599
NPI assigned
Nov 15, 2017
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
January Bering Serrano
Title
President/Owner
Phone
(312) 806-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

5940 W Touhy Ave Ste 195
Niles, IL 60714-4638

Mailing address

507 W Walnut Ave
Des Plaines, IL 60016-5817
Phone (224) 251-8149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117002250 IL Part B Supplier - Clinic/Group Practice 7012276173 Receives reassigned benefits from 10 practitioners
Practice locations: Niles, IL

National Provider Directory

National Provider Directory

Locations

5940 W Touhy Ave
Ste 195
Niles, IL 60714
Phone (312) 806-8102

Practitioners & affiliated clinicians

Practitioners 10

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": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1841703584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W WALNUT AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165817",
            "telephone_number": "224-251-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W TOUHY AVE STE 195",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144638",
            "telephone_number": "847-213-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICIANS OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "BERING SERRANO",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "312-806-8102"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.