| Geri-med Service Ltd | |
|
3330 W 177th St Suite 2e Hazel Crest IL 60429-2184 | |
| (708) 532-2388 | |
| (708) 532-2296 |
| Full Name | Geri-med Service Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3330 W 177th St, Hazel Crest, Illinois |
| Authorized Official Name and Position | Rekha Sharma (OWNER) |
| Authorized Official Contact | 7087995455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geri-med Service Ltd 3330 W 177th St Suite 2e Hazel Crest IL 60429-2184 Ph: (708) 799-5455 | Geri-med Service Ltd 3330 W 177th St Suite 2e Hazel Crest IL 60429-2184 Ph: (708) 532-2388 |
| NPI Number | 1093775546 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 06/29/2015 |
| Medicare PECOS PAC ID | 0244236115 |
|---|---|
| Medicare Enrollment ID | O20061017000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093775546 | NPI | - | NPPES |
| 036095503 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036095503 (Illinois) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036095503 (Illinois) | Primary |
| Provider Name | Rekha K Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619054228 PECOS PAC ID: 1557265402 Enrollment ID: I20031121000553 |
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