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CONCENTRA PRIMARY CARE OF ILLINOIS PC NPI 1871853812


NPI Information

NPI: 1871853812
Provider Name: CONCENTRA PRIMARY CARE OF ILLINOIS PC

Doing Business As: SATISH VIJ, MD

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

Specialization: Primary Care

Address:
800 AUSTIN ST
SUITE 269 EAST TOWER
EVANSTON, IL
ZIP 60202
Phone: (847) 328-5550
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CONCENTRA PRIMARY CARE OF ILLINOIS PC is a primary care clinic center in Evanston, IL. CONCENTRA PRIMARY CARE OF ILLINOIS PC NPI is 1871853812. The provider is registered as an organization entity type.
The provider Is Doing Business As Satish Vij, Md.

The provider's business location address is:

800 AUSTIN ST
SUITE 269 EAST TOWER
EVANSTON, IL
ZIP 60202-439
Phone: (847) 328-5550

The provider's authorized official is Raad Yaldo .
The authorized official title is President and has the following contact phone number (972) 364-8000.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 6/17/2015.


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
1261QP2300XClinic/CenterPrimary CareYes

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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