Organization · Type 2 NPI

Avid Primary Care LLC

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

NPI number 1295522688 Active

Practice location

17465 Kedzie Ave
Hazel Crest, IL 60429-1632

Fax (708) 907-0771

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 1295522688

Avid Primary Care LLC's National Provider Identifier is 1295522688, issued on Apr 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 Jul 2, 2026.