Healthcare Provider Details
I. General information
NPI: 1851617724
Provider Name (Legal Business Name): ENCOMPASS PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2010
Last Update Date: 06/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 W NORTH AVE
MELROSE PARK IL
60160-1612
US
IV. Provider business mailing address
1481 MONARCH CIR
NAPERVILLE IL
60564-9311
US
V. Phone/Fax
- Phone: 708-681-3200
- Fax:
- Phone: 847-571-7008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
THOMAS
CHWEH
Title or Position: PARTNER
Credential: M.D.
Phone: 847-571-7008