Provider Type Icon

PRIMARY CARE WEST S.C. NPI 1750575940


NPI Information

NPI: 1750575940
Provider Name: PRIMARY CARE WEST, S.C.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1300 N HIGHLAND AVE STE 2
AURORA, IL
ZIP 60506
Phone: (630) 897-9600
Get Directions

PRIMARY CARE WEST, S.C. is an adult medicine family medicine in Aurora, IL. The provider is definition to come. PRIMARY CARE WEST, S.C. NPI is 1750575940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 N HIGHLAND AVE STE 2
AURORA, IL
ZIP 60506-464
Phone: (630) 897-9600
Fax: (630) 897-9625

The provider's authorized official is Tina Bombard .
The authorized official title is Billing Director and has the following contact phone number (630) 897-6851.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 2/14/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine036085384ILLINOISNo
2207QA0505XFamily MedicineAdult Medicine036088055ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F98616MEDICARE UPIN
2F57144MEDICARE UPIN
3L91484MEDICARE PIN
4001630376OTHERBCBS
5201715OTHERILLINOISMEDICARE GROUP
6L91485MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.