Park Primary Care Ltd - Medicare Primary Care in Evergreen Park, IL

Park Primary Care Ltd is a medicare enrolled primary clinic (General Practice) in Evergreen Park, Illinois. The current practice location for Park Primary Care Ltd is 9760 S Kedzie Ave, Suite 2, Evergreen Park, Illinois. For appointments, you can reach them via phone at (708) 423-8150. The mailing address for Park Primary Care Ltd is 9760 S Kedzie Ave, Suite 2, Evergreen Park, Illinois and phone number is (708) 423-8150.

Park Primary Care Ltd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891984068. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (708) 423-8150.

Contact Information

Park Primary Care Ltd
9760 S Kedzie Ave
Suite 2
Evergreen Park
IL 60805-3109
(708) 423-8150
(708) 423-8152

Map and Direction


Primary Care Clinic Profile

Full NamePark Primary Care Ltd
SpecialityGeneral Practice
Location9760 S Kedzie Ave, Evergreen Park, Illinois
Authorized Official Name and PositionThomas Joseph (OWNER)
Authorized Official Contact7084238150
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Park Primary Care Ltd
9760 S Kedzie Ave
Suite 2
Evergreen Park
IL 60805-3109

Ph: (708) 423-8150
Park Primary Care Ltd
9760 S Kedzie Ave
Suite 2
Evergreen Park
IL 60805-3109

Ph: (708) 423-8150

NPI Details:

NPI Number1891984068
Provider Enumeration Date10/23/2007
Last Update Date03/16/2009

Medicare PECOS Information:

Medicare PECOS PAC ID5698797256
Medicare Enrollment IDO20051222000559

Medical Identifiers

Medical identifiers for Park Primary Care Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891984068NPI-NPPES
CA1215OtherILRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Park Primary Care Ltd acts as a billing entity for following providers:
Provider NameShefali K Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609815414
PECOS PAC ID: 5991725798
Enrollment ID: I20051122000680
Provider NameThomas Joseph
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306836663
PECOS PAC ID: 2668367640
Enrollment ID: I20051227000105
Provider NameGeorge Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073746046
PECOS PAC ID: 7911153606
Enrollment ID: I20120813000387
Provider NameKristina Ann Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841587334
PECOS PAC ID: 7214244573
Enrollment ID: I20150918000631

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.