Active NPI
Illinois Home Providers, Inc
- Adult Medicine Physician
- Northfield, IL
National Provider Identifier
1972951192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Ramirez-Tasigchana, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340766270001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Waukegan, IL
- NPI 1992089742
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.