Geriatric Care SC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036071862 Issued in IL

Legal business name

GERIATRIC CARE SC

Practice address

60 Orland Square Dr
Suite 201
Orland Park, IL 60462-6548

Phone

(708) 226-9055

NPI assigned

May 10, 2006

Last updated

Oct 29, 2015By 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

George W Shehata, MD

Title

Owner

Phone

(708) 226-9055

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Raquel Tadalan Brillante, CNP

  • Nurse Practitioner
  • Orland Park, IL
  • NPI 1053320697
  NPD (past)
• Judith Anne Morey, RN,BSN,CWOCN,APN

  • Clinical Nurse Specialist
  • Orland Park, IL
  • NPI 1306002902
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1821047457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SILO RIDGE RD E",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677372",
            "telephone_number": "708-226-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR",
            "address_2": "SUITE 201",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626548",
            "telephone_number": "708-226-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-226-9055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036071862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "0001634985",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071862",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jossy George, FNP
• Alexandros J. Georgiou, DC
• Georgia Georgiou, DC
• Michael Geraci, LPC
• Melissa Ann Gergel, MPAS, PA-C
• F. Wilford Germino, M.D.
• Gregory Thomas Germino, D.D.S.
• Kevin P. Germino, M.D.
• Thomas P Germino, DDS
• Donald R Gerry, D.O.

• Geriatric Medicine (Internal Medicine) Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.