CGT Medical, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CGT MEDICAL, PLLC

Practice address

9760 S Kedzie Ave Ste 1
Evergreen Park, IL 60805-3109

Phone

(089) 426-8697

Fax

(708) 423-9021

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

George Thomas, MD

Title

Owner

Phone

(708) 942-6869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1316695554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE STE 1",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053109",
            "telephone_number": "089-426-8697",
            "fax_number": "708-423-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE STE 1",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053109",
            "telephone_number": "089-426-8697",
            "fax_number": "708-423-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGT MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-942-6869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Self-Actualization
• Central Regional Laboratories, LLC
• Cepamerica Illinois LLP
• Stephanie J Cermak, PA-C
• Matthew William Cesario
• Carmen Chan
• Julie Chang, MMS, PA-C
• Melissa M Chappell, M.D.
• George Charuk, DO
• Ahmad Chatila, MD

• General Practice Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.