Provider Demographics
NPI:1679569347
Name:TOURK, KARIM (MD)
Entity type:Individual
Prefix:DR
First Name:KARIM
Middle Name:
Last Name:TOURK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 N 129TH INFANTRY DR
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-5135
Mailing Address - Country:US
Mailing Address - Phone:800-353-4980
Mailing Address - Fax:800-356-2390
Practice Address - Street 1:109 N 129TH INFANTRY DR
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-5135
Practice Address - Country:US
Practice Address - Phone:800-353-4980
Practice Address - Fax:800-356-2390
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036102125207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036102125Medicaid
IL036102125Medicaid