| Geriatric Care Sc | |
|
60 Orland Square Dr Suite 201 Orland Park IL 60462-6548 | |
| (708) 226-9055 | |
| Not Available |
| Full Name | Geriatric Care Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Orland Square Dr, Orland Park, Illinois |
| Authorized Official Name and Position | George W Shehata (OWNER) |
| Authorized Official Contact | 7082269055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Care Sc 51 Silo Ridge Rd E Orland Park IL 60467-7372 Ph: (708) 226-9055 | Geriatric Care Sc 60 Orland Square Dr Suite 201 Orland Park IL 60462-6548 Ph: (708) 226-9055 |
| NPI Number | 1821047457 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 10/29/2015 |
| Medicare PECOS PAC ID | 7113970682 |
|---|---|
| Medicare Enrollment ID | O20050224000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821047457 | NPI | - | NPPES |
| 0001634985 | Other | IL | BC BS |
| 036071862 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036071862 (Illinois) | Primary |
| Provider Name | George W Shehata |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1275530396 PECOS PAC ID: 1355302621 Enrollment ID: I20041020000529 |
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