Prime Care Ltc Consulting Inc | |
401 W Lake St Northlake IL 60164-2436 | |
(708) 409-2318 | |
Not Available |
Full Name | Prime Care Ltc Consulting Inc |
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Speciality | Internal Medicine |
Location | 401 W Lake St, Northlake, Illinois |
Authorized Official Name and Position | John Robert Haebich (CEO) |
Authorized Official Contact | 7084092318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prime Care Ltc Consulting Inc 401 W Lake St Northlake IL 60164-2436 Ph: () - | Prime Care Ltc Consulting Inc 401 W Lake St Northlake IL 60164-2436 Ph: (708) 409-2318 |
NPI Number | 1487075073 |
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Provider Enumeration Date | 12/26/2013 |
Last Update Date | 12/26/2013 |
Identifier | Type | State | Issuer |
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1487075073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |