PRI-MED MEDICAL CENTER S C (NPI# 1205097201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205097201 |
| Entity Type | Organization |
| Organization Name | PRI-MED MEDICAL CENTER S C |
| Practice Address |
10715 W 159th St Orland Park IL 60467-4531 |
| Mailing Address |
Po Box 527 Palos Park IL 60464-0527 |
| Practice Telephone | 7082264961 |
| Practice Fax Number | 7083649301 |
| Mailing Telephone | 7082264961 |
| Mailing Fax Number | 7083649301 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2010-04-24 |
| Authorized Official Name | DR. SHIRIN ARIF KHAN (PRESIDENT) |
| Authorized Official Telephone | 7082264961 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036085803 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085803 | 05 | |
| IL | MEDICARE RAILROAD | 11023950 | 01 |
| Street Address |
10715 W 159TH ST |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619224706 | Norman Solliday | Internal Medicine | 8261 Legend Ln, Orland Park, IL 60462-1773 | 2012-08-08 |
| 1407090491 | Leonard Joseph Hertko | Internal Medicine | 13561 Ishnala Dr, Orland Park, IL 60462-1885 | 2009-04-22 |
| 1134301773 | Yazen Joudeh | Internal Medicine | 16501 106th Ct, Orland Park, IL 60467-4545 | 2007-12-05 |
| 1558405647 | Cecilia Ibrahim | Internal Medicine | 10749 W 159th St, Orland Park, IL 60467-4531 | 2007-02-20 |
| 1629136551 | Jovita C Anyanwu | Internal Medicine | 16734 Steeplechase Pkwy, Orland Park, IL 60467-5890 | 2006-12-04 |
| 1447327606 | Shirin Arif Khan | Internal Medicine | 10715 W 159th Street, Orland Park, IL 60467 | 2006-11-30 |
| 1700953759 | Anita V. Fischer | Internal Medicine | 10640 W 165th St, Orland Park, IL 60467 | 2006-11-28 |
| 1891894572 | Jack Czarlinski | Internal Medicine | 14612 John Humphrey Dr, Orland Park, IL 60462-2642 | 2006-09-21 |
| 1427168442 | George Kuefner | Internal Medicine | 62 Orland Square Dr, Suite 102, Orland Park, IL 60462-6546 | 2006-08-30 |
| 1477509347 | William Crevier | Internal Medicine | 16450 104th Ave Ste 101, Orland Park, IL 60467-5416 | 2006-05-25 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.