| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 |