Active NPI
Khalil Y Karim, MD, SC
- Family Medicine Physician
- Melrose Park, IL
National Provider Identifier
1649430869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036093508
- Legal business name
- KHALIL Y KARIM, MD, SC
- Practice address
- 1111 Superior St
Ste 402
Melrose Park, IL 60160-4138 - Phone
- (708) 450-7788
- Fax
- (708) 450-9464
- NPI assigned
- Jun 11, 2008
- 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
- Dr. Khalil Y Karim, MD
- Title
- Physician
- Phone
- (708) 450-7888
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036093508 | IL | Primary |
Addresses
Primary practice location
1111 Superior St
Ste 402
Melrose Park, IL 60160-4138
Mailing address
1111 Superior St
Ste 402
Melrose Park, IL 60160-4138
Phone (708) 450-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211000434 | IL | Part B Supplier - Clinic/Group Practice | 0345134383 |
Receives reassigned benefits from 1 practitioner Practice locations: Melrose Park, IL |
National Provider Directory
National Provider DirectoryLocations
1111 Superior St
Ste 402
Melrose Park, IL 60160
Phone (708) 450-7788
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1649430869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SUPERIOR ST",
"address_2": "STE 402",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601604138",
"telephone_number": "708-450-7788",
"fax_number": "708-450-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SUPERIOR ST",
"address_2": "STE 402",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601604138",
"telephone_number": "708-450-7788",
"fax_number": "708-450-9464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHALIL Y KARIM, MD, SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "KARIM",
"authorized_official_first_name": "KHALIL",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-450-7888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "036093508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.