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Contact Information

HOME MD LLC.
3426 W ARMITAGE AVE
CHICAGO, IL60647-3720
 Phone: 773-772-8770
 Fax: 847-307-8314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for HOME MD LLC.

NPI Number 1912918699
LBN Legal business name HOME MD LLC.
Authorized official JESUS DADIVAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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