Active NPI
Epic Med LLC
- Geriatric Medicine (Family Medicine) Physician
- Hazel Crest, IL
National Provider Identifier
1174415376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- EPIC MED LLC
- Practice address
- 17465 Kedzie Ave
Hazel Crest, IL 60429-1632 - Phone
- (708) 887-7329
- Fax
- (129) 552-2688
- NPI assigned
- Jul 21, 2025
- Last updated
- May 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John A Flick, DO
- Title
- Authorize Official
- Phone
- (708) 887-7329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | Primary |
Addresses
Primary practice location
17465 Kedzie Ave
Hazel Crest, IL 60429-1632
Mailing address
17465 Kedzie Ave
Hazel Crest, IL 60429-1632
Phone (708) 887-7329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17465 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 887-7329
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1568417301
-
- Neonatal-Perinatal Medicine Physician
- Maywood, IL
- NPI 1114238870
-
- Family Nurse Practitioner
- Hazel Crest, IL
- NPI 1669036331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1174415376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17465 KEDZIE AVE",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291632",
"telephone_number": "708-887-7329",
"fax_number": "129-552-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17465 KEDZIE AVE",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291632",
"telephone_number": "708-887-7329",
"fax_number": "129-552-2688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIC MED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-21",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A",
"authorized_official_last_name": "FLICK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
"authorized_official_telephone_number": "708-887-7329",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.