Primary Care West, S.c. | |
1300 N Highland Ave Ste 2 Aurora IL 60506-1464 | |
(630) 897-9600 | |
(630) 897-9625 |
Full Name | Primary Care West, S.c. |
---|---|
Speciality | Family Medicine - Adult Medicine |
Location | 1300 N Highland Ave Ste 2, Aurora, Illinois |
Authorized Official Name and Position | Tina Bombard (BILLING DIRECTOR) |
Authorized Official Contact | 6308976851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primary Care West, S.c. 1300 N Highland Ave Ste 2 Aurora IL 60506-1464 Ph: (630) 897-9600 | Primary Care West, S.c. 1300 N Highland Ave Ste 2 Aurora IL 60506-1464 Ph: (630) 897-9600 |
NPI Number | 1750575940 |
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Provider Enumeration Date | 08/30/2007 |
Last Update Date | 02/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750575940 | NPI | - | NPPES |
001630376 | Other | BCBS | |
201715 | Other | IL | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 036088055 (Illinois) | Primary |
207R00000X | Internal Medicine | 036085384 (Illinois) | Secondary |
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