| Geri Care Ltd | |
|
1600 W Dempster St Ste 120 Park Ridge IL 60068-1171 | |
| (847) 299-7888 | |
| (847) 299-7844 |
| Full Name | Geri Care Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 W Dempster St, Park Ridge, Illinois |
| Authorized Official Name and Position | Katherine K Katsoyannis (OWNER/PRESIDENT) |
| Authorized Official Contact | 8472997888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geri Care Ltd 1600 W Dempster St Ste 120 Park Ridge IL 60068-1171 Ph: (847) 299-7888 | Geri Care Ltd 1600 W Dempster St Ste 120 Park Ridge IL 60068-1171 Ph: (847) 299-7888 |
| NPI Number | 1629000732 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 06/24/2013 |
| Medicare PECOS PAC ID | 5991794513 |
|---|---|
| Medicare Enrollment ID | O20040510000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629000732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036096130 (Illinois) | Primary |
| Provider Name | Katherine K Katsoyannis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023123015 PECOS PAC ID: 0345239976 Enrollment ID: I20040510000636 |
| Provider Name | Andrea M Bazan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699871293 PECOS PAC ID: 5890754394 Enrollment ID: I20041008001315 |
| Provider Name | Junine D Degraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609943661 PECOS PAC ID: 6709820913 Enrollment ID: I20050617000248 |
| Provider Name | Maria Derylo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316251176 PECOS PAC ID: 9931388857 Enrollment ID: I20110125000499 |
| Provider Name | Melissa J Theodore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912294083 PECOS PAC ID: 8729257126 Enrollment ID: I20110801000358 |
| Provider Name | Faina Furman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972805711 PECOS PAC ID: 4880856954 Enrollment ID: I20120507000648 |
| Provider Name | Debra F Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538316641 PECOS PAC ID: 7416083209 Enrollment ID: I20150105002142 |
| Provider Name | Merchant Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891156444 PECOS PAC ID: 8628351871 Enrollment ID: I20170213002266 |
| Provider Name | Nadine Nehme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134145626 PECOS PAC ID: 4880656669 Enrollment ID: I20190313002978 |
| Provider Name | Jenny Yohannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871109876 PECOS PAC ID: 8527471192 Enrollment ID: I20201229001851 |
| Provider Name | Marlene Varnavas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013669373 PECOS PAC ID: 5193119659 Enrollment ID: I20220225001549 |
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