Provider Demographics
NPI:1538538954
Name:HOME CARE TRAVEL DOCS INC
Entity type:Organization
Organization Name:HOME CARE TRAVEL DOCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SFEIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-813-6216
Mailing Address - Street 1:519 W DOWNER PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-5036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:519 W DOWNER PL
Practice Address - Street 2:SUITE 414
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-5036
Practice Address - Country:US
Practice Address - Phone:847-813-6216
Practice Address - Fax:847-813-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336.062745036.068817208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty