| Pri-med Medical Center S C | |
|
10715 W 159th St Orland Park IL 60467-4531 | |
| (708) 226-4961 | |
| (708) 364-9301 |
| Full Name | Pri-med Medical Center S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 10715 W 159th St, Orland Park, Illinois |
| Authorized Official Name and Position | Shirin Arif Khan (PRESIDENT) |
| Authorized Official Contact | 7082264961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pri-med Medical Center S C Po Box 527 Palos Park IL 60464-0527 Ph: (708) 226-4961 | Pri-med Medical Center S C 10715 W 159th St Orland Park IL 60467-4531 Ph: (708) 226-4961 |
| NPI Number | 1205097201 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 04/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205097201 | NPI | - | NPPES |
| 036085803 | Medicaid | IL | |
| 11023950 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085803 (Illinois) | Primary |
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