| Primary Health Associates Pc | |
|
16604 S 107th Ct Orland Park IL 60467-8898 | |
| (708) 675-1620 | |
| (708) 675-1635 |
| Full Name | Primary Health Associates Pc |
|---|---|
| Speciality | Physical Therapist |
| Location | 16604 S 107th Ct, Orland Park, Illinois |
| Authorized Official Name and Position | David A Dohse (PRESIDENT) |
| Authorized Official Contact | 7083011400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Associates Pc 16604 S 107th Ct Orland Park IL 60467-8898 Ph: (708) 675-1620 | Primary Health Associates Pc 16604 S 107th Ct Orland Park IL 60467-8898 Ph: (708) 675-1620 |
| NPI Number | 1760577829 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0749254845 |
|---|---|
| Medicare Enrollment ID | O20040824000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760577829 | NPI | - | NPPES |
| 1114785832 | Other | IL | ANGELA S THIEL PT NPI |
| 1679511901 | Other | IL | DR DAVID DOHSE NPI |
| 1770521007 | Other | IL | DR JAMES MAGEE NPI |
| 1841244043 | Other | IL | DR ROBERT WRONA NPI |
| 1841238029 | Other | IL | DR JOHN PANOZZO NPI |
| 1154369395 | Other | IL | DR DONALD GERRY NPI |
| 1912950916 | Other | IL | DR R DIPASQUO NPI |
| 1215953559 | Other | IL | DR PAUL STRIEGEL NPI |
| 1629016803 | Other | IL | DR JAMES TESS NPI |
| 1184678377 | Other | IL | DR SUSAN MARCOTTE NPI |
| 1790723088 | Other | IL | DR JOHN HERBICK NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Secondary |
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Robert W Wrona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841244043 PECOS PAC ID: 1557381803 Enrollment ID: I20051201000093 |
| Provider Name | John A Panozzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841238029 PECOS PAC ID: 9830224070 Enrollment ID: I20100312000972 |
| Provider Name | Raymond P Dipasquo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912950916 PECOS PAC ID: 1355477431 Enrollment ID: I20100327000593 |
| Provider Name | Susan E Marcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184678377 PECOS PAC ID: 4789658899 Enrollment ID: I20100524000925 |
| Provider Name | James J Tess |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629016803 PECOS PAC ID: 3678602653 Enrollment ID: I20100601000430 |
| Provider Name | Kathleen A Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497063135 PECOS PAC ID: 4486822616 Enrollment ID: I20110714000189 |
| Provider Name | Khalil Snowber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225487481 PECOS PAC ID: 8123308277 Enrollment ID: I20190724003685 |
| Provider Name | Linda Beller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437861366 PECOS PAC ID: 4486027653 Enrollment ID: I20230309000396 |
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