ILLIANA HOME PHYSICIAN SERVICES INC (NPI# 1508242629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508242629 |
| Entity Type | Organization |
| Organization Name | ILLIANA HOME PHYSICIAN SERVICES INC |
| Practice Address |
1609 Sibley Blvd Calumet City IL 60409-2217 |
| Practice Telephone | 7733594757 |
| Mailing Telephone | 7733594757 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | DR. JAMES BECKETT (MANAGER) |
| Authorized Official Telephone | 7733594757 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 036087374 | IL | Suppliers |
| Y | 207R00000X | Internal Medicine | 036087374 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036087374 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669938304 | Illiana Home Physician Services Inc | Case Manager/Care Coordinator | 2100 Sibley Blvd, Calumet City, IL 60409-2153 | 2019-02-19 |
| Street Address |
1609 SIBLEY BLVD |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 60409-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235564527 | Calumet Counseling and Dui Services,inc | Clinic/Center | 1609 Sibley Blvd, Calumet City, IL 60409-2217 | 2013-09-05 |
| 1326563966 | Bansa Medical Associates Inc | Internal Medicine | 1609 Sibley Blvd, Calumet City, IL 60409-2217 | 2017-08-04 |
| 1386038859 | Treatment Training Developmental Services, LLC | Counselor | 1609 Sibley Blvd, Calumet City, IL 60409-2217 | 2015-03-23 |
| 1619360872 | Anthony Carl Redmond | Psychologist | 1609 Sibley Blvd, Calumet City, IL 60409-2217 | 2015-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
| 1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
| 1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
| 1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
| 1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
| 1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
| 1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
| 1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
| 1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
| 1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
| Find all providers in zip 60409 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780763805 | Nirav P Chudgar | Internal Medicine | 1600 Torrence Ave, Calumet City, IL 60409-5430 | 2006-11-02 |
| 1336189869 | Dorothy M Jones | Internal Medicine | 1600 167th St Ste 750, Calumet City, IL 60409-5487 | 2006-06-06 |
| 1639132590 | Nirav P Chudgar Mdsc | Internal Medicine | 1600 167th St Ste 200, Calumet City, IL 60409-5445 | 2006-04-10 |
| 1255329546 | Janice Marea Pierson | Internal Medicine | 1477 Ring Rd, Calumet City, IL 60409-5459 | 2005-10-11 |
| 1447246111 | Cynthia Goldman | Internal Medicine | 1600 167th St, Suite 700, Calumet City, IL 60409-5457 | 2005-09-27 |
| 1962496182 | Benjamin Jeng-shing Wang | Internal Medicine | 80 River Oaks, Ste 813, Calumet City, IL 60409 | 2005-09-02 |
| 1326563966 | Bansa Medical Associates Inc | Internal Medicine | 1609 Sibley Blvd, Calumet City, IL 60409-2217 | 2017-08-04 |
| 1528423019 | Christian Oyibe | Internal Medicine | 2100 Sibley Blvd, Calumet City, IL 60409 | 2015-12-28 |
| 1043570310 | Christian Community Health Center | Internal Medicine | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2012-05-21 |
| 1629364708 | Ashley Rohr | Internal Medicine | 1700 E West Rd, Calumet City, IL 60409-5415 | 2011-06-27 |
| Find all providers in CALUMET CITY | ||||
| City | CALUMET CITY |
| Zip Code | 60409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.