Active NPI
Stellar Home Physicians Inc
- Geriatric Medicine (Family Medicine) Physician
- Chicago, IL
National Provider Identifier
1881063147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Internal Medicine Physician | 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 DirectoryLocations
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.
-
- Chiropractor
- Northbrook, IL
- NPI 1568731081
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
- Brian Patrick Stella, M.A.
- Stellar Anesthesia Specialists PLLC
- Stellar Hair Salon, Beauty and Braiding Academy
- Stellar Home Health Care, Inc.
- Stellar Home Network
- Stellar MRI and Imaging LLC
- Stellar Pain and Spine Specialists
- Stellar Professional Services PLLC
- Stellar Surgical Center LLC
- Stellar Surgical Suite LLC
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.