Organization
GERIMED HEALTH CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEERA RAO MD (OWNER)
(708) 489-6600
Entity
Organization
Contact information
Practice address
11600 S KEDZIE AVE, SUITE A, MERRIONETTE PARK, IL 60803-6302
(708) 489-6600
Mailing address
11600 S KEDZIE AVE, SUITE A, MERRIONETTE PARK, IL 60803-6302
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634621
BC BS
IL
Enumeration date
05/10/2006
Last updated
11/10/2008
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