Organization Active NPI

Stellar Home Physicians Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Chicago, IL
National Provider Identifier
1881063147
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
STELLAR HOME PHYSICIANS INC
Practice address
3530 W Peterson Ave
Suite 109
Chicago, IL 60659-3293
Phone
(847) 436-8081
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Rama Seedoo
Title
Authorized Official
Phone
(773) 583-0921

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Home Health Agency 251E00000X

Addresses

Primary practice location

3530 W Peterson Ave
Suite 109
Chicago, IL 60659-3293

Mailing address

3530 W Peterson Ave
Suite 109
Chicago, IL 60659-3293
Phone (773) 859-5415

National Provider Directory

National Provider Directory

Locations

3530 W Peterson Ave
Ste 109
Chicago, IL 60659
Phone (773) 839-5415

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1881063147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 W PETERSON AVE",
            "address_2": "SUITE 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593293",
            "telephone_number": "773-859-5415",
            "fax_number": "773-831-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 W PETERSON AVE",
            "address_2": "SUITE 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593293",
            "telephone_number": "847-436-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HOME PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "SEEDOO",
        "authorized_official_first_name": "RAMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-583-0921"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.