Provider Demographics
NPI:1396169348
Name:US HOME CARE VISITING PHYSICIANS
Entity type:Organization
Organization Name:US HOME CARE VISITING PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:708-654-5039
Mailing Address - Street 1:6832 W NORTH AVE
Mailing Address - Street 2:UNIT#2A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4430
Mailing Address - Country:US
Mailing Address - Phone:708-654-5039
Mailing Address - Fax:
Practice Address - Street 1:6832 W NORTH AVE
Practice Address - Street 2:UNIT#2A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60707-4430
Practice Address - Country:US
Practice Address - Phone:708-654-5039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty