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PRIMARY PHYSICIANS DIAGNOSTICS LLC NPI 1740337476


NPI Information

NPI: 1740337476
Provider Name: PRIMARY PHYSICIANS DIAGNOSTICS, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1806 ELMWOOD DR
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 831-5190
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PRIMARY PHYSICIANS DIAGNOSTICS, LLC is a non pharmacy dispensing site in Highland Park, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PRIMARY PHYSICIANS DIAGNOSTICS, LLC NPI is 1740337476. The provider is registered as an organization entity type.

The provider's business location address is:

1806 ELMWOOD DR
HIGHLAND PARK, IL
ZIP 60035-303
Phone: (847) 831-5190
Fax: (847) 780-4503

The provider's authorized official is Stephen Hauer .
The authorized official title is Owner and has the following contact phone number (847) 831-5190.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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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