Provider Demographics
NPI:1376296921
Name:FOCUS MD GROUP LLC
Entity Type:Organization
Organization Name:FOCUS MD GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TSADOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-736-5768
Mailing Address - Street 1:9100 KARLOV AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1718
Mailing Address - Country:US
Mailing Address - Phone:201-736-5768
Mailing Address - Fax:
Practice Address - Street 1:9100 KARLOV AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1718
Practice Address - Country:US
Practice Address - Phone:630-715-9738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty