| Intermed, Ltd | |
|
418 Sherwood Rd Lagrange Park IL 60526-1968 | |
| (708) 482-3600 | |
| (708) 482-3005 |
| Full Name | Intermed, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 418 Sherwood Rd, Lagrange Park, Illinois |
| Authorized Official Name and Position | Mohamed S Kholoki (OWNER) |
| Authorized Official Contact | 7084823600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermed, Ltd 418 Sherwood Rd Lagrange Park IL 60526-1968 Ph: (708) 482-3600 | Intermed, Ltd 418 Sherwood Rd Lagrange Park IL 60526-1968 Ph: (708) 482-3600 |
| NPI Number | 1780759357 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 0941378079 |
|---|---|
| Medicare Enrollment ID | O20081002000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780759357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Asha Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124171459 PECOS PAC ID: 9436253770 Enrollment ID: I20070327000386 |
| Provider Name | Mohammed S Kholoki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275679755 PECOS PAC ID: 4587732607 Enrollment ID: I20081002000455 |
Gary M Mccray Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1530 Alima Terrace, Lagrange Park, IL 60526 Phone: 708-783-5572 Fax: 708-482-4093 |