PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS S.C. NPI 1689904039

NPI Information

NPI: 1689904039
Provider Name: PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS, S.C.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1719 W 18TH ST
CHICAGO, IL
ZIP 60608
Phone: (312) 421-7010
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PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS, S.C. is a multi-specialty clinic center in Chicago, IL. PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS, S.C. NPI is 1689904039. The provider is registered as an organization entity type.

The provider's business location address is:

1719 W 18TH ST
CHICAGO, IL
ZIP 60608-913
Phone: (312) 421-7010

The provider's authorized official is Peter Papadopoulos .
The authorized official title is Business Manager and has the following contact phone number (773) 878-3674.

The enumeration date for this NPI number is 1/7/2010 and was last updated on 1/7/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty		ILLINOIS	Yes

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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