Organization · Type 2 NPI

Epic Med LLC

Geriatric Medicine (Family Medicine) Physician · Hazel Crest, IL

NPI number 1174415376 Active

Practice location

17465 Kedzie Ave
Hazel Crest, IL 60429-1632

Fax (129) 552-2688

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

5 other providers at this address

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About NPI 1174415376

Epic Med LLC's National Provider Identifier is 1174415376, issued on Jul 21, 2025. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Hazel Crest, IL. The record was last updated on May 22, 2026.