Organization · Type 2 NPI
Cook County
Geriatric Medicine (Family Medicine) Physician · Blue Island, IL
Practice location
12757 S. Western Ave
Blue Island, IL 60406
Mailing address
1900 W Polk St Ste 220C
Chicago, IL 60612-3723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Medicine (Family Medicine) Physician Primary | 207QG0300X | None 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.
About NPI 1780205708
Cook County's National Provider Identifier is 1780205708, issued on Apr 30, 2020. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Blue Island, IL. The record was last updated on Apr 30, 2020.