Provider Demographics
NPI:1366000648
Name:PHYSICIANS HOUSE CALLS
Entity type:Organization
Organization Name:PHYSICIANS HOUSE CALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARAIAH LYLAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:NANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-813-5779
Mailing Address - Street 1:1580 N NORTHWEST HWY STE 121A
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1462
Mailing Address - Country:US
Mailing Address - Phone:847-813-5779
Mailing Address - Fax:
Practice Address - Street 1:1580 N NORTHWEST HWY STE 121A
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1462
Practice Address - Country:US
Practice Address - Phone:847-813-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty