Organization Active NPI

Illinois Home Providers, Inc

  • Adult Medicine Physician
  • Northfield, IL
National Provider Identifier
1972951192
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ILLINOIS HOME PROVIDERS, INC
Practice address
540 W Frontage Rd
2117
Northfield, IL 60093-1250
Phone
(224) 505-5907
Fax
(224) 255-6057
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Mrs. Kimberly Ramirez-Tasigchana, FNPNPI 1992089742
Title
FNP-C/ President
Phone
(224) 505-5907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

540 W Frontage Rd
2117
Northfield, IL 60093-1250

Mailing address

540 W Frontage Rd
2117
Northfield, IL 60093-1250
Phone (224) 505-5907

Other identifiers 1

IdentifierTypeStateIssuer
340766270001MedicaidIL

National Provider Directory

National Provider Directory

Locations

540 W Frontage Rd
Ste 2117
Northfield, IL 60093
Phone (224) 505-5907

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": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1972951192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD",
            "address_2": "2117",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931250",
            "telephone_number": "224-505-5907",
            "fax_number": "224-255-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD",
            "address_2": "2117",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931250",
            "telephone_number": "224-505-5907",
            "fax_number": "224-255-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS HOME PROVIDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ-TASIGCHANA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "FNP-C/ PRESIDENT",
        "authorized_official_telephone_number": "224-505-5907",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340766270001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.