Provider Demographics
NPI:1699317693
Name:HOUSECALLS DONE WRIGHT LTD
Entity type:Organization
Organization Name:HOUSECALLS DONE WRIGHT LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKOMBOTTOM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-622-6461
Mailing Address - Street 1:801 S FINANCIAL PL APT 2416
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-1796
Mailing Address - Country:US
Mailing Address - Phone:773-750-2571
Mailing Address - Fax:773-284-2702
Practice Address - Street 1:4021 W 63RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-4642
Practice Address - Country:US
Practice Address - Phone:773-750-2571
Practice Address - Fax:773-284-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty