Dr Thomas Joseph, MD | |
9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | |
(708) 423-6209 | |
(708) 423-9021 |
Full Name | Dr Thomas Joseph |
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Gender | Male |
Speciality | Internal Medicine |
Location | 9760 S Kedzie Ave, Evergreen Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306836663 | NPI | - | NPPES |
036084895 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036084895 (Illinois) | Primary |
Entity Name | Evergreen Care Center Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447449616 PECOS PAC ID: 2163317124 Enrollment ID: O20040218000589 |
Entity Name | Park Primary Care Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891984068 PECOS PAC ID: 5698797256 Enrollment ID: O20051222000559 |
Mailing Address | Practice Location Address |
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Dr Thomas Joseph, MD 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 Ph: (708) 423-8150 | Dr Thomas Joseph, MD 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 Ph: (708) 423-6209 |
Dr. Thomas Bump, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 | |
Dolores Dixon-grevious, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 301, Evergreen Park, IL 60805 Phone: 708-389-2200 Fax: 708-389-6686 | |
Vinitha Raghavan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3358 W 95th St, Evergreen Park, IL 60805 Phone: 708-952-3040 Fax: 708-952-3043 | |
Wassim Ballany, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 | |
Dr. George Sousanieh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715 | |
Dr. John H Burke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 | |
Dr. Richard D. Kern, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Pulmonary Medicine Consultants, Ltd., Evergreen Park, IL 60805 Phone: 708-424-9288 |