Organization · Type 2 NPI

Primesource Healthcare Systems, Inc.

Podiatrist · Buffalo Grove, IL

NPI number 1497704126 Active

Practice location

2100 East Lake Cook Road, Suite 1100
Buffalo Grove, IL 60089-1815

Fax (877) 821-6402

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
General Practice Dentistry 1223G0001XNone listed
Optometrist 152W00000XNone listed
Vision Therapy Optometrist 152WV0400XNone listed
Podiatrist Primary 213E00000XNone listed
Audiologist 231H00000XNone listed

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1497704126

Primesource Healthcare Systems, Inc.'s National Provider Identifier is 1497704126, issued on May 9, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Buffalo Grove, IL. The record was last updated on Feb 19, 2014.