| Prime Immediate And Primary Care Incorporated | |
|
535 Fairway Dr Suite 107 Naperville IL 60563-3938 | |
| (630) 857-3967 | |
| (630) 995-3027 |
| Full Name | Prime Immediate And Primary Care Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 535 Fairway Dr, Naperville, Illinois |
| Authorized Official Name and Position | Fouzia B Muhammedkarim (OWNER) |
| Authorized Official Contact | 6308573967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Immediate And Primary Care Incorporated 535 Fairway Dr Suite 107 Naperville IL 60563-3938 Ph: (630) 857-3967 | Prime Immediate And Primary Care Incorporated 535 Fairway Dr Suite 107 Naperville IL 60563-3938 Ph: (630) 857-3967 |
| NPI Number | 1144658287 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 04/21/2016 |
| Medicare PECOS PAC ID | 2466689492 |
|---|---|
| Medicare Enrollment ID | O20131218000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144658287 | NPI | - | NPPES |
| 036126023 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036126023 (Illinois) | Primary |
| Provider Name | Fouzia B Muhammedkarim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508071309 PECOS PAC ID: 6608037197 Enrollment ID: I20120410000311 |
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