BLACKBAG HOME PHYSICIAN SERVICE LLC
NPI 1770824161
Clinic/Center - Health Service in Park Forest, IL

Q: What is Blackbag Home Physician Service LLC's NPI number?

The NPI number for Blackbag Home Physician Service LLC is 1770824161. It was assigned to this organization in the NPPES registry on March 9, 2013.

Q: What is Blackbag Home Physician Service LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since March 09, 2013

437 NAVAJO ST, PARK FOREST, IL 60466(815) 406-5011(888) 311-8610 Get Directions Write a Review

NPPES record last updated: December 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blackbag Home Physician Service Llc NPPES

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

BLACKBAG HOME PHYSICIAN SERVICE LLC (NPI 1770824161) is a healthcare organization registered as a health service in Park Forest, Illinois and active in the NPI registry since March 2013. The organization lists Nichelle Hampton, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1770824161

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameBLACKBAG HOME PHYSICIAN SERVICE LLC

Location Address437 NAVAJO STPark Forest, IL 60466-2520

Mailing Address21200 S Lagrange Rd, 305Frankfort, IL 60423-2003 · (815) 406-5011 · Fax (888) 311-8610

Phone(815) 406-5011

Fax(888) 311-8610

Organization SubpartNo

Authorized OfficialNichelle HamptonChief Executive Officer · (312) 399-0285

Enumeration DateMarch 9, 2013

Last NPPES UpdateDecember 21, 2014

✔ NPI 1770824161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

437 NAVAJO ST, Park Forest, IL 60466

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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 Blackbag Home Physician Service LLC's NPI number?

The NPI number for Blackbag Home Physician Service LLC is 1770824161. It was assigned to this organization in the NPPES registry on March 9, 2013.

Where is Blackbag Home Physician Service LLC located?

Blackbag Home Physician Service LLC is located at 437 Navajo St, Park Forest, IL 60466. The listed phone number is (815) 406-5011.

What is Blackbag Home Physician Service LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Blackbag Home Physician Service LLC was last updated on December 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.