HOME DOCTORS MANAGEMENT (NPI# 1235431628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235431628 |
| Entity Type | Organization |
| Organization Name | HOME DOCTORS MANAGEMENT |
| Practice Address |
611 Hunter Lake Forest IL 60045-4905 |
| Practice Telephone | 8476152273 |
| Practice Fax Number | 8773356195 |
| Mailing Telephone | 8476152273 |
| Mailing Fax Number | 8773356195 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | MR. SRISH P SRIRAM (MEMBER) |
| Authorized Official Telephone | 8476152273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036088401 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036088401 | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036088401 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036088401 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
611 HUNTER |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184979973 | Optimal Health Medical of Orange County | Internal Medicine | 23101 Lake Center Dr Ste 130, Suite 100, Lake Forest, CA 92630-2874 | 2012-07-17 |
| 1275722373 | Jay H. Kleiman | Internal Medicine | 1875 S James Ct N, Lake Forest, IL 60045-4624 | 2007-10-15 |
| 1912008418 | Stephen P Wiet | Internal Medicine | 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658 | 2006-09-26 |
| 1912944133 | Ian D Cohen | Internal Medicine | 800 N Westmoreland Road Suite 102, Lake Forest, IL 60045-1673 | 2006-05-31 |
| 1285628859 | John William Benge | Internal Medicine | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2005-09-09 |
| 1659790004 | Ansel Philip Amaral | Internal Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2014-04-14 |
| 1922342245 | Lake Forest Cardiology LLC | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2012-11-27 |
| 1437434800 | Lake Forest Cardiology | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2011-10-18 |
| 1699940932 | Sukit Mayur Ringwala | Internal Medicine | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2008-04-28 |
| 1538181821 | Edwin Wu | Internal Medicine | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2006-07-24 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.