Provider Demographics
NPI:1588942288
Name:HOUSE PHYSICIANS LLC
Entity type:Organization
Organization Name:HOUSE PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAASHIF
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-996-0919
Mailing Address - Street 1:2951 S KING DR APT 1917
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-3368
Mailing Address - Country:US
Mailing Address - Phone:773-996-0919
Mailing Address - Fax:312-842-1949
Practice Address - Street 1:2723 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1703
Practice Address - Country:US
Practice Address - Phone:773-996-0919
Practice Address - Fax:312-842-1949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-28
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health