PALOS HEIGHTS MEDICAL CENTER (NPI# 1245428374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245428374 |
| Entity Type | Organization |
| Organization Name | PALOS HEIGHTS MEDICAL CENTER |
| Other Organization Name | SHAKIR MOIDUDDIN |
| Practice Address |
7530 W College Dr Suite C Palos Heights IL 60463-1196 |
| Practice Telephone | 7083610911 |
| Mailing Telephone | 7083610911 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. SHAKIR MOIDUDDIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7083610911 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036052775 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| shakir moiduddin | Doing Business As Name - Organization |
| Street Address |
7530 W COLLEGE DR SUITE C |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831164896 | Joan Marie Mcelligott | Family Medicine | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-02-22 |
| 1730583261 | Peter Mcdonnell Md, LLC | Surgery | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2014-10-13 |
| 1497199350 | Physician Diagnostic and Pathology | Radiology | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2013-04-23 |
| 1437477270 | Ijaz Qayyum M.d.,s.c. | Surgery | 7530 W College Dr, Suite C, Palos Heights, IL 60463-1196 | 2010-05-04 |
| 1518146034 | Sarah Soni | Internal Medicine | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2007-10-31 |
| 1467581801 | Vinod Kumar Soni | Internal Medicine | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2007-03-03 |
| 1659435899 | Peter J. Mcdonnell M.d. Sc | Specialist | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-12-21 |
| 1295810547 | Shakir Moiduddin | Family Medicine | 7530 W College Dr, Suite C, Palos Heights, IL 60463 | 2006-10-26 |
| 1740361633 | James J Strzyz | Urology | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-10-18 |
| 1538240429 | Jay P Steinberg | Urology | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649697483 | Andrew & Lubomyra Kazaniwskyj Do | Family Medicine | 11747 Southwest Hwy, Palos Heights, IL 60463-1015 | 2014-03-18 |
| 1811203805 | Gerald Michael Casey | Family Medicine | 16 W Bay Rd, Palos Heights, IL 60463-1056 | 2010-08-27 |
| 1386881688 | Mansour Moh'd Alshobaki | Family Medicine | 7350 W College Dr Ste 201, Palos Heights, IL 60463-1190 | 2009-01-08 |
| 1730231259 | Lloyd J Blakeman IIi | Family Medicine | 7110 W 127th St Ste 250, Palos Heights, IL 60463-1580 | 2007-01-17 |
| 1770694200 | Ewa V Hampston | Family Medicine | 12130 S Harlem Ave, Suite B, Palos Heights, IL 60463-1458 | 2006-08-31 |
| 1831164896 | Joan Marie Mcelligott | Family Medicine | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-02-22 |
| 1205343357 | Cristine Gramza | Family Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2018-01-10 |
| 1912428723 | Maureen E Kelly | Family Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2017-06-30 |
| 1891234290 | Clinical Associates of Palos Heights Sc | Family Medicine | 11824 Southwest Hwy, Suite 110, Palos Heights, IL 60463-1055 | 2017-02-17 |
| 1740568351 | Lakeview Family Medical Care LLC | Family Medicine | 7350 W College Dr Ste 201, Palos Heights, IL 60463-1190 | 2011-07-31 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.