| Prime Healthcare Services | |
|
1200 W South St Plano IL 60545-1790 | |
| (630) 552-8826 | |
| (630) 552-0236 |
| Full Name | Prime Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 W South St, Plano, Illinois |
| Authorized Official Name and Position | Saroor Alam (PRESIDENT) |
| Authorized Official Contact | 6305528826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services Alam S Md Llc Po Box 606 Montgomery IL 60538-0606 Ph: (630) 552-8826 | Prime Healthcare Services 1200 W South St Plano IL 60545-1790 Ph: (630) 552-8826 |
| NPI Number | 1780870410 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 11/20/2007 |
| Medicare PECOS PAC ID | 3476562489 |
|---|---|
| Medicare Enrollment ID | O20060419000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780870410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
| Provider Name | Saroor Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013064138 PECOS PAC ID: 6103835145 Enrollment ID: I20060420000019 |
| Provider Name | Huma Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639362544 PECOS PAC ID: 8123114022 Enrollment ID: I20071023000241 |
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