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Home Clinic LLC
NPI 1619436904 · Physical Therapy Clinic/Center · Buckley, IL
Provider details
- NPI number
- 1619436904
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shane Stachura, Member Manager(708) 227-8403
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 S 3rd St
Buckley, IL 60918-7044
Phone: (708) 227-8403
Street-level locationGet directions
Mailing address
Po Box 24
Buckley, IL 60918-0024
Registry dates
- Enumerated
- 2019-03-15
- Last updated
- 2019-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.