Personally Pam LTD

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IL1002666 Issued in IL

Legal business name

PERSONALLY PAM LTD

Practice address

10436 S Kedzie Ave
Chicago, IL 60655-2018

Phone

(773) 233-3337

Fax

(773) 233-5630

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Allen Trost

Title

President

Phone

(773) 233-3337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PERSONAL NURSING SERVICE Doing business as

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891739629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552018",
            "telephone_number": "773-233-3337",
            "fax_number": "773-233-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552018",
            "telephone_number": "773-233-3337",
            "fax_number": "773-233-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALLY PAM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-233-3337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1002666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9806",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERSONAL NURSING SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Weyler Persky, M.D.
• Anna Kathryn Person, APRN, DNP
• Kristle Person, M.ED
• Rana Person
• Personal&Organizational Counseling, Inc.
• Personic Wound Care Illinois PLLC
• Emily Persons, MD, MPH
• Perspective Psychology, PLLC
• Perspectives LTD
• Kenneth Perteet

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.