Tri State Medical Care, Ltd
NPI #1700941705 in Countryside, Illinois
Provider Information
- NPI Number
- 1700941705
- Entity Type
- Organization
- Organization Name
- Tri State Medical Care, Ltd
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 27, 2006
- Last Updated
- Sep 28, 2007
Practice Location
- Address
- 5830 S KENSINGTON AVE
- City
- Countryside
- State
- Illinois
- ZIP Code
- 60525-3525
- Phone
- (708) 482-3118
Authorized Official
- Name
- DR. MUHANNAD KAYALI, M.D.
- Title
- PRESIDENT
- Phone
- (708) 482-3118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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| MR. Gerald Simon, MD | |
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| Lagrange Medical Healthcare, Ltd | |
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