| Tri State Medical Care, Ltd | |
|
5830 S Kensington Ave Countryside IL 60525-3525 | |
| (708) 482-3118 | |
| Not Available |
| Full Name | Tri State Medical Care, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 5830 S Kensington Ave, Countryside, Illinois |
| Authorized Official Name and Position | Muhannad Kayali (PRESIDENT) |
| Authorized Official Contact | 7084823118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Medical Care, Ltd 5830 S Kensington Ave Countryside IL 60525-3525 Ph: (708) 482-3118 | Tri State Medical Care, Ltd 5830 S Kensington Ave Countryside IL 60525-3525 Ph: (708) 482-3118 |
| NPI Number | 1700941705 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700941705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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