Meridies Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036090846 Issued in IL

Legal business name

MERIDIES MEDICAL CENTER LLC

Practice address

10749 W 159TH St
Orland Park, IL 60467-4531

Phone

(708) 460-3300

Fax

(708) 460-3301

NPI assigned

Mar 19, 2009

Last updated

Nov 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cecilia Ibrahim, MDNPI 1558405647

Title

President

Phone

(708) 460-3300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Cecilia Ibrahim, M.D.

  • Internal Medicine Physician
  • Orland Park, IL
  • NPI 1558405647
  Authorized official Same address or phone

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1700027893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430550",
            "telephone_number": "708-460-3300",
            "fax_number": "708-460-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10749 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-460-3300",
            "fax_number": "708-460-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIES MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-460-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036090846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura P Melone
• Kara Melvin
• Donna Mendez, ED.D., LPC
• Divine Providence Mengue, PA-C
• Lisa Merenda, COTA/L
• Mary A Merlo, APRN, CNP
• Metrix Illinois, Inc. (Orland Park Physical Therapy)
• Maria R Metzler, M.A. CCC-SLP.L
• Michael Meuris, RPH
• Angela Bevan Meyer, PTA

• Internal Medicine Physician in Orland Park, IL
• Providers in Orland 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 Nov 30, 2012; 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.