GERI-MED SERVICE LTD NPI 1093775546

NPI Information

  • NPI: 1093775546
  • Provider Name: GERI-MED SERVICE LTD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 14D1047762
  • Address: 3330 W 177TH ST
    SUITE 2E
    HAZEL CREST, IL
    ZIP 60429
  • Phone: (708) 532-2388

Map and Directions

Get Directions

NPI Details

GERI-MED SERVICE LTD is a geriatric medicine internal medicine in Hazel Crest, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. GERI-MED SERVICE LTD NPI is 1093775546. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3330 W 177TH ST
SUITE 2E
HAZEL CREST, IL
ZIP 60429-184
Phone: (708) 532-2388
Fax: (708) 532-2296

The provider's authorized official is Rekha Sharma .
The authorized official title is Owner and has the following contact phone number (708) 799-5455.

The CLIA number assigned to this NPI record is 14D1047762 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 6/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036095503ILLINOISNo
2207RG0300XInternal MedicineGeriatric Medicine036095503ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1IL2817MEDICARE PINILLINOIS
2F71342MEDICARE UPIN
3036095503MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI