Individual provider Active NPI

George Thomas, M.D.

  • Family Medicine Physician
  • Evergreen Park, IL
National Provider Identifier
1073746046
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125-057241 Issued in IL
Practice address
9760 S Kedzie Ave
Suite 2
Evergreen Park, IL 60805-3109
Phone
(708) 423-8150
Fax
(708) 423-8152
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125-057241 IL Primary

Addresses

Primary practice location

9760 S Kedzie Ave
Suite 2
Evergreen Park, IL 60805-3109

Mailing address

9760 S Kedzie Ave
Suite 2
Evergreen Park, IL 60805-3109
Phone (708) 423-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000387 IL Practitioner - Family Practice 7911153606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Park Primary Care LTDGroup PAC ID 5698797256, 2 clinicians
Evergreen Care Center LTDGroup PAC ID 2163317124, 2 clinicians

Practice addresses (Care Compare)

9760 S Kedzie Ave
Suite 2
Evergreen Park, IL 60805-3182
Phone (708) 423-8150

9760 S Kedzie Ave
Suite 3
Evergreen Park, IL 60805-3184
Phone (708) 423-6209

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.31 of 100Reported as group
Quality
98.61
Promoting interoperability
100
Improvement activities
40
Cost
75.76

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
71.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-057241ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Primary Care LTD CurrentSince Sep 1, 2012 Accepting new patients
Evergreen Care Center LTD CurrentSince Sep 1, 2012 Accepting new patients
The Headache Lab CurrentSince Sep 1, 2012 Accepting new patients

Locations

9760 S Kedzie Ave
Ste 3
Evergreen Pk, IL 60805
Phone (708) 423-6209

9760 S Kedzie Ave
Ste 2
Evergreen Pk, IL 60805
Phone (708) 423-8150

9760 S Kedzie Ave
Evergreen Pk, IL 60805
Phone (708) 423-2660

Interoperability endpoints

  • Direct secure messaging: george.thomas.2@27901.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1073746046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE",
            "address_2": "SUITE 2",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053109",
            "telephone_number": "708-423-8150",
            "fax_number": "708-423-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE",
            "address_2": "SUITE 2",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053109",
            "telephone_number": "708-423-8150",
            "fax_number": "708-423-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-057241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.