PRIMARY CARE WEST S.C. NPI 1154478766

NPI Information

PRIMARY CARE WEST, S.C. is a health service clinic center in Aurora, IL. PRIMARY CARE WEST, S.C. NPI is 1154478766. The provider is registered as an organization entity type.

The provider's business location address is:

1300 N HIGHLAND AVE
SUITE 2
AURORA, IL
ZIP 60506-451
Phone: (630) 897-9606
Fax: (630) 897-9625

The provider's authorized official is Dave Mante .
The authorized official title is President and has the following contact phone number (630) 897-9606.

The CLIA number assigned to this NPI record is 14D1000800 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 2/3/2011.

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:

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