MEDICARE: IMMEDIATE HOME CARE PHYSICIANS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1134521917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMMEDIATE HOME CARE PHYSICIANS, INC

Provider Business Mailing Address
First Line	:	10714 S ROBERTS RD STE B
Second Line	:
City	:	PALOS HILLS
State	:	IL
Zip	:	60465-2314
Country	:	US
Telephone Number	:	815-616-2906
Fax Number	:

Provider Business Practice Location Address
First Line	:	10714 S ROBERTS RD STE B
Second Line	:
City	:	PALOS HILLS
State	:	IL
Zip	:	60465-2314
Country	:	US
Telephone Number	:	815-616-2906
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROHIT KUMAR
Credential	:
Telephone Number	:	815-616-2906

Provider Enumeration Date	:	09/23/2014
Last Update Date	:	04/13/2020

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