Tamid Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042005666 Issued in IL

Legal business name

TAMID MEDICAL GROUP

Practice address

6936 N Kostner Ave
Lincolnwood, IL 60712-4717

Phone

(773) 282-6188

Fax

(773) 282-7389

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tom Klein, MDNPI 1326094194

Title

President

Phone

(773) 282-6188

Specialties & licenses 1

Addresses

Tax ID family

Tamid Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tamid Medical Group

  • Internal Medicine Physician
  • Riverwoods, IL
  • NPI 1689744245
  NPD tax ID

Practitioners 1

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

• Tom Klein, MD

  • Internal Medicine Physician
  • Riverwoods, IL
  • NPI 1326094194
  NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1861412702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 N KOSTNER AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124717",
            "telephone_number": "773-282-6188",
            "fax_number": "773-282-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 N KOSTNER AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124717",
            "telephone_number": "773-282-6188",
            "fax_number": "773-282-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMID MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-282-6188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042005666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lincolnwood, IL
• Providers in Lincolnwood, 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 Jul 3, 2008; 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.