MEDICARE: 31ST STREET MEDICAL CENTER S.C.

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1750562187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	31ST STREET MEDICAL CENTER S.C.

Provider Business Mailing Address
First Line	:	16750 80TH AVE
Second Line	:	SUITE B
City	:	TINLEY PARK
State	:	IL
Zip	:	60477-3173
Country	:	US
Telephone Number	:	708-429-7373
Fax Number	:	708-429-7340

Provider Business Practice Location Address
First Line	:	16750 80TH AVE
Second Line	:	SUITE B
City	:	TINLEY PARK
State	:	IL
Zip	:	60477-3173
Country	:	US
Telephone Number	:	708-429-7373
Fax Number	:	708-429-7340

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHELDON ALLEN LEVINE
Credential	:	D.O.
Telephone Number	:	708-429-7373

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	11/14/2007

Similar Medicare Providers

1821079955 — SUNRISE MEDICAL CENTER S. C.
Practice Location Address:

16750 80TH AVE , STE D
TINLEY PARK, IL
60477-3173

Practice Phone: 708-633-8300
Practice Fax: 708-633-8091

1225083983 — MALHOTRA LLC
Practice Location Address:

16750 80TH AVE , SUITE E
TINLEY PARK, IL
60477-3173

Practice Phone: 708-633-9000
Practice Fax: 708-633-9016

1558398370 — DR. JOSEPH THOMAS MONACO M.D.
Practice Location Address:

16750 80TH AVE , SUITE A
TINLEY PARK, IL
60477-3173

Practice Phone: 708-444-1880
Practice Fax: 708-444-1980

1235226788 — DR. JEFFREY ROBERT HOEKSTRA DC
Practice Location Address:

16750 80TH AVE
TINLEY PARK, IL
60477-3173

Practice Phone: 708-633-4541
Practice Fax: 708-633-4549

1467615328 — JOSEPH T MONACO MD SC
Practice Location Address:

16750 80TH AVE , SUITE A
TINLEY PARK, IL
60477-3173

Practice Phone: 708-444-1880
Practice Fax: 815-834-1307

1326330853 — COOKE MEDICAL, LLC
Practice Location Address:

16750 80TH AVE , STE A
TINLEY PARK, IL
60477-3173

Practice Phone: 877-815-6668
Practice Fax:

Directions to “31ST STREET MEDICAL CENTER S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.