Organization · Type 2 NPI
Prairie Glen Primary Care, P.c.
Primary Care Clinic/Center · Lemont, IL
NPI number
1851458699
Active
Practice location
15505 127th St
Lemont, IL 60439-4433
Fax (630) 257-1954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 036110756 (IL) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
About NPI 1851458699
Prairie Glen Primary Care, P.c.'s National Provider Identifier is 1851458699, issued on Jan 2, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lemont, IL. The record was last updated on Sep 27, 2011.