| Northwest Primary Healthcare, S.c. | |
|
509 W Old Northwest Hwy Suite 100c Barrington IL 60010-6811 | |
| (847) 756-7360 | |
| (847) 277-7191 |
| Full Name | Northwest Primary Healthcare, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 509 W Old Northwest Hwy, Barrington, Illinois |
| Authorized Official Name and Position | Katherine Nancy Kamholz (PRESIDENT, OWNER) |
| Authorized Official Contact | 8477567360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Primary Healthcare, S.c. 509 W Old Northwest Hwy Suite 100c Barrington IL 60010-6811 Ph: (847) 756-7360 | Northwest Primary Healthcare, S.c. 509 W Old Northwest Hwy Suite 100c Barrington IL 60010-6811 Ph: (847) 756-7360 |
| NPI Number | 1104984848 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1557377348 |
|---|---|
| Medicare Enrollment ID | O20060303000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104984848 | NPI | - | NPPES |
| 03695547 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Katherine N Kamholz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629062849 PECOS PAC ID: 8628084415 Enrollment ID: I20060306000065 |
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