Organization · Type 2 NPI
Prime Medical Clinic S.c.
Adult Medicine Physician · Glenview, IL
NPI number
1659815074
Active
Practice location
3633 W Lake Ave Ste 307
Glenview, IL 60026-5803
Fax (847) 316-9502
Mailing address
333 W Dundee Rd
Buffalo Grove, IL 60089-3545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 036135325 (IL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
2 other providers at this address
About NPI 1659815074
Prime Medical Clinic S.c.'s National Provider Identifier is 1659815074, issued on Dec 5, 2016. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Glenview, IL. The record was last updated on Jan 13, 2023.