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General NPI Number Information
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NPI Number | 1184546467
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH PROVIDERS PLLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 17960 HALSTED ST
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City | HOMEWOOD
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State | IL
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Zip | 60430-2014
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Country | US
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Telephone | 708-922-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 1744 OAK AVENUE
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City | EVANSTON
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State | IL
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Zip | 60201-5938
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Country | US
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Telephone | 184-792-2644
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ADAM PANFIL
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Credential | COO
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Telephone | 847-922-6440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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