Healthcare Provider Details

I. General information

NPI: 1154966018
Provider Name (Legal Business Name): INSIGHT PHYSICIANS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 04/13/2020
Certification Date: 04/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TIFFANY PT STE 106
BLOOMINGDALE IL
60108-2915
US

IV. Provider business mailing address

1 TIFFANY PT STE 106
BLOOMINGDALE IL
60108-2915
US

V. Phone/Fax

Practice location:
  • Phone: 224-653-9507
  • Fax: 224-653-9387
Mailing address:
  • Phone: 224-653-9507
  • Fax: 224-653-9387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANA ATCHA
Title or Position: PRACTICE MANAGER
Credential: NP
Phone: 630-202-1481