Thomas Joseph, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036084895 Issued in IL

Practice address

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

Phone

(708) 423-6209

Fax

(708) 423-9021

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Evergreen Care Center LTD

  • General Practice Physician
  • Evergreen Park, IL
  • NPI 1447449616
  Medicare reassignment NPD
• Park Primary Care LTD

  • General Practice Physician
  • Evergreen Park, IL
  • NPI 1891984068
  Medicare reassignment NPD
• The Headache Lab

  • General Practice Physician
  • Evergreen Park, IL
  • NPI 1801782057
  NPD
• Kedzie Medical Associates LTD

  • Clinic/Center
  • Evergreen Park, IL
  • NPI 1144295254
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1306836663",
    "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": "708-423-6209",
            "fax_number": "708-423-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036084895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084895",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Johnston, DPT
• Carla Graciela Joiner, PT
• Donnika Lynn Jones-Hamlin, PT, DPT
• Laura Jones
• Amanda Jonikaitis-King
• Jung I Jun, MD SC
• Jung Il Jun MD SC
• Mohammad Tarek Kabbany, M.D.
• Margaret Rose Kane
• Ajita V. Kasbekar, M.D.

• Internal Medicine Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.