PRIMEIMMEDIATEANDPRIMARYCARE NPI 1518313717

NPI Information

NPI: 1518313717
Provider Name: PRIMEIMMEDIATEANDPRIMARYCARE

Doing Business As: PRIMEIMMEDIATEANDPRIMARYCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
535 FAIRWAY DR
SUITE #107
NAPERVILLE, IL
ZIP 60563
Phone: (630) 857-3967
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PRIMEIMMEDIATEANDPRIMARYCARE is a primary care clinic center in Naperville, IL. PRIMEIMMEDIATEANDPRIMARYCARE NPI is 1518313717. The provider is registered as an organization entity type.
The provider Is Doing Business As Primeimmediateandprimarycare.

The provider's business location address is:

535 FAIRWAY DR
SUITE #107
NAPERVILLE, IL
ZIP 60563-938
Phone: (630) 857-3967
Fax: (630) 397-4204

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

The enumeration date for this NPI number is 5/6/2016 and was last updated on 5/6/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036126023	ILLINOIS	Yes

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
1	036126023	MEDICAID	ILLINOIS
2	F100110833	MEDICARE UPIN	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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