MEDICARE: HOUSECALL PHYSICIANS INCORPORATED

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	:	1528434917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSECALL PHYSICIANS INCORPORATED

Provider Business Mailing Address
First Line	:	6327 N MAPLEWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1905
Country	:	US
Telephone Number	:	312-730-4340
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E MARKET ST
Second Line	:	STE#1261
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3250
Country	:	US
Telephone Number	:	317-653-2666
Fax Number	:	317-653-2673

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NAJMUS SAQIB OMAR
Credential	:
Telephone Number	:	312-830-4340

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	08/19/2015

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