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PRIMARY CARE SERVICES NPI 1235461765


NPI Information

NPI: 1235461765
Provider Name: PRIMARY CARE SERVICES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D2044079

Address:
2500 S HIGHLAND AVE
SUITE 230
LOMBARD, IL
ZIP 60148
Phone: (630) 429-9000
Get Directions

PRIMARY CARE SERVICES is an internal medicine in Lombard, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMARY CARE SERVICES NPI is 1235461765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 S HIGHLAND AVE
SUITE 230
LOMBARD, IL
ZIP 60148-363
Phone: (630) 429-9000
Fax: (630) 429-9060

The provider's authorized official is Iram Aleem Ahmed .
The authorized official title is Physician and has the following contact phone number (630) 429-9000.

The CLIA number assigned to this NPI record is 14D2044079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2010 and was last updated on 3/1/2016.


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
1207R00000XInternal Medicine036117593ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036117593MEDICAIDILLINOIS
2IL3375MEDICARE PINILLINOIS
3IL4905MEDICARE PINILLINOIS
4DQ4287MEDICARE PINILLINOIS

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: 5/5/2024

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