Medical Center of Dyer, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL CENTER OF DYER, LTD

Doing business as

First Choice Medical Center

Practice address

11164 Southwest Hwy
Palos Hills, IL 60465-2709

Phone

(708) 907-3422

Fax

(708) 249-6775

NPI assigned

Nov 21, 2011

Last updated

Jun 1, 2023By 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

Ameira Khaleq

Title

Practice Administrator

Phone

(708) 655-1489

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• First Choice Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Ossama Hosney Zorub, M.D.

  • Hospitalist Physician
  • Michigan City, IN
  • NPI 1891769303

  IL

  Medicare reassignment

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1902173826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11164 SOUTHWEST HWY",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652709",
            "telephone_number": "708-907-3422",
            "fax_number": "708-249-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11164 SOUTHWEST HWY",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652709",
            "telephone_number": "708-907-3422",
            "fax_number": "708-249-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF DYER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "KHALEQ",
        "authorized_official_first_name": "AMEIRA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "708-655-1489"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891769303",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Mathis, LSW
• Cassandra Maurer
• Paul McFarlane, M.D.
• McKenna Chiropractic, LLC (Essential Chiropractic)
• Sandra Foss McMahon, OTR
• Medical Imaging Specialist Inc
• Medical Imaging Specialist Inc
• Medical Imaging Specialists Inc
• Marilyn Ann Medow, LCSW
• Adam Foster Meisel, M.D.

• Internal Medicine Physician in Palos Hills, IL
• Providers in Palos Hills, 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 Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.