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

Village Medical at Home Kentucky PSC

Organization Family Medicine Physician · NPI 1861099699

Village Medical at Home Kentucky PSC is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 S Clark St Ste 900
Chicago, IL 60603-4043
Phone: (706) 513-4897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1861099699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Rager — Director Revenue Cycle · (844) 969-0686
NPI enumeratedOctober 5, 2020
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address125 S Clark St Ste 900, Chicago, IL 60603-4043

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