Organization
GERIATRIC CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE W SHEHATA MD (OWNER)
(708) 226-9055
Entity
Organization
Contact information
Practice address
60 ORLAND SQUARE DR, SUITE 201, ORLAND PARK, IL 60462-6548
(708) 226-9055
Mailing address
51 SILO RIDGE RD E, ORLAND PARK, IL 60467-7372
(708) 226-9055
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036071862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634985
BC BS
IL
05
—
036071862
—
IL
Enumeration date
05/10/2006
Last updated
10/29/2015
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