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Organization
TRI STATE MEDICAL CARE, LTD
Active
Organization
TRI STATE MEDICAL CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHANNAD KAYALI M.D. (PRESIDENT)
(708) 482-3118
Entity
Organization
Contact information
Practice address
5830 S KENSINGTON AVE, COUNTRYSIDE, IL 60525-3525
(708) 482-3118
Mailing address
5830 S KENSINGTON AVE, COUNTRYSIDE, IL 60525-3525
(708) 482-3118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
12/27/2006
Last updated
09/28/2007
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