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PRIME IMMEDIATE AND PRIMARY CARE INCORPORATED NPI 1144658287


NPI Information

NPI: 1144658287
Provider Name: PRIME IMMEDIATE AND PRIMARY CARE INCORPORATED
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2070909

Address:
535 FAIRWAY DR
SUITE 107
NAPERVILLE, IL
ZIP 60563
Phone: (630) 857-3967
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PRIME IMMEDIATE AND PRIMARY CARE INCORPORATED is a family medicine in Naperville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIME IMMEDIATE AND PRIMARY CARE INCORPORATED NPI is 1144658287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

535 FAIRWAY DR
SUITE 107
NAPERVILLE, IL
ZIP 60563-938
Phone: (630) 857-3967
Fax: (630) 995-3027

The provider's authorized official is Fouzia B Muhammedkarim .
The authorized official title is Owner and has the following contact phone number (630) 857-3967.

The CLIA number assigned to this NPI record is 14D2070909 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 4/21/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036126023ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F100110833MEDICARE UPINILLINOIS
2036126023MEDICAIDILLINOIS

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: 4/28/2024

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