Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Black House Group LLC

Organization Internal Medicine Physician · NPI 1457011306

The Black House Group LLC is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 S Wells St Apt 803
Chicago, IL 60607-4783
Phone: (312) 860-4814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1457011306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tequilla Stanciel — Founder & Chief Medical Provider · (312) 860-4814
Other names Healthsquad
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 14, 2021
Mailing address611 S Wells St Apt 803, Chicago, IL 60607-4783

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