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PRIMARY CARE ASSOCIATES LTD NPI 1588731764


NPI Information

NPI: 1588731764
Provider Name: PRIMARY CARE ASSOCIATES LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0418317

Address:
6840 WINDSOR AVE
BERWYN, IL
ZIP 60402
Phone: (708) 484-0042
Get Directions

PRIMARY CARE ASSOCIATES LTD is a family medicine in Berwyn, 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. PRIMARY CARE ASSOCIATES LTD NPI is 1588731764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6840 WINDSOR AVE
BERWYN, IL
ZIP 60402-441
Phone: (708) 484-0042
Fax: (708) 749-5489

The provider's authorized official is Bradford Wainer .
The authorized official title is Physician and has the following contact phone number (708) 484-0042.

The CLIA number assigned to this NPI record is 14D0418317 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 6/15/2010.


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
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

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

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