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NPI Code Detail

MEDICARE: PALOS HEIGHTS MEDICAL CENTER

MEDICARE: PALOS HEIGHTS MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036052775IL

General Provider Information

NPI Number : 1245428374
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALOS HEIGHTS MEDICAL CENTER
Provider Business Mailing Address
First Line : 7530 W COLLEGE DR
Second Line : SUITE C
City : PALOS HEIGHTS
State : IL
Zip : 60463-1196
Country : US
Telephone Number : 708-361-0911
Fax Number :
Provider Business Practice Location Address
First Line : 7530 W COLLEGE DR
Second Line : SUITE C
City : PALOS HEIGHTS
State : IL
Zip : 60463-1196
Country : US
Telephone Number : 708-361-0911
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SHAKIR MOIDUDDIN
Credential : M.D.
Telephone Number : 708-361-0911
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

Similar Medicare Providers

1831164896 — DR. JOAN MARIE MCELLIGOTT D.O.
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-6714
Practice Fax: 708-361-9514
1740361633 — DR. JAMES J STRZYZ MD
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-0840
Practice Fax: 708-361-9342
1538240429 — DR. JAY P STEINBERG MD
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-0840
Practice Fax: 708-361-9342
1265513253 — DR. ROBERT S FIRLIT MD
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-0840
Practice Fax: 708-361-9342
1659435899 — PETER J. MCDONNELL M.D. SC
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-923-6605
Practice Fax: 708-923-0705
1467581801 — VINOD KUMAR SONI M.D.
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-448-0016
Practice Fax: 708-923-0705

Directions to “PALOS HEIGHTS MEDICAL CENTER ” Practice Location

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