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14D0970177 CLIA NUMBER - NORTHWEST PRIMARY CARE

Laboratory Demographics

CLIA Number: 14D0970177

Facility Name: NORTHWEST PRIMARY CARE

Facility Address:
2214 HUNTINGTON DR NORTH
ALGONQUIN, IL
ZIP 60102
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Facility Phone Number: 847 458-4500

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1225344906

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D0970177
LAB Type Physician Office
Facility Name NORTHWEST PRIMARY CARE
Street 2214 HUNTINGTON DR NORTH
City ALGONQUIN
State IL
ZIP 60102
Phone 847 458-4500
CertificateType 4
CertificateEffectiveDate 2/4/2024
CertificateExpirationDate 2/3/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024