Organization
GERI-MED SERVICE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REKHA SHARMA MD (OWNER)
(708) 799-5455
Entity
Organization
Contact information
Practice address
3330 W 177TH ST, SUITE 2E, HAZEL CREST, IL 60429-2184
(708) 532-2388
(708) 532-2296
Mailing address
3330 W 177TH ST, SUITE 2E, HAZEL CREST, IL 60429-2184
(708) 799-5455
(708) 799-5736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036095503
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036095503
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095503
—
IL
Enumeration date
03/27/2006
Last updated
06/29/2015
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