Tri State Medical Care, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRI STATE MEDICAL CARE, LTD

Practice address

5830 S Kensington Ave
Countryside, IL 60525-3525

Phone

(708) 482-3118

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Muhannad Kayali, M.D.

Title

President

Phone

(708) 482-3118

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Najat Shaba George, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1649581471
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1700941705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 S KENSINGTON AVE",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253525",
            "telephone_number": "708-482-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 S KENSINGTON AVE",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253525",
            "telephone_number": "708-482-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE MEDICAL CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "KAYALI",
        "authorized_official_first_name": "MUHANNAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-482-3118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Thiesse, FNP-BC
• James Thomas
• Colleen Marie Thompson, DPT
• Kathlyn Thompson, RN
• Carly Tillema
• Melany Vargus
• Debby Vazquez
• Alyssa Villanueva
• Angela Sue Vokac, MA, CCC-SLP
• Ross G Vondrak, LMT, NCTMB

• Internal Medicine Physician in Countryside, IL
• Providers in Countryside, 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 28, 2007; 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.