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THE BLACK HOUSE GROUP LLC
NPI 1457011306
Internal Medicine in Chicago, IL

Active since December 20, 2021
611 S WELLS ST APT 803, CHICAGO, IL 60607(312) 860-4814 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About The Black House Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE BLACK HOUSE GROUP LLC (NPI 1457011306), doing business as Healthsquad, is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since December 2021. The organization lists Tequilla Stanciel, Founder & Chief Medical Provider, as its authorized official.

NPPES Registry Identity

NPI1457011306
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHE BLACK HOUSE GROUP LLC
Location Address611 S WELLS ST APT 803Chicago, IL 60607-4783
Mailing Address611 S Wells St Apt 803Chicago, IL 60607-4783 · (312) 860-4814
Phone(312) 860-4814
Organization SubpartNo
Authorized OfficialTequilla StancielFounder & Chief Medical Provider · (312) 860-4814
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1457011306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
611 S WELLS ST APT 803, Chicago, IL 60607
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Other Names 1

Doing Business AsHealthsquad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Black House Group LLC's NPI number?

The NPI number for The Black House Group LLC is 1457011306. It was assigned to this organization in the NPPES registry on December 20, 2021. The provider is doing business as Healthsquad.

Where is The Black House Group LLC located?

The Black House Group LLC is located at 611 S Wells St Apt 803, Chicago, IL 60607. The listed phone number is (312) 860-4814.

What is The Black House Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for The Black House Group LLC was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.