Prime Medical Center Ltd | |
6201 N California Ave Ste 110 Chicago IL 60659-2672 | |
(773) 430-8312 | |
(708) 730-7298 |
Full Name | Prime Medical Center Ltd |
---|---|
Speciality | Internal Medicine |
Location | 6201 N California Ave Ste 110, Chicago, Illinois |
Authorized Official Name and Position | Iqbal E Bhwani (OWNER) |
Authorized Official Contact | 7734308312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prime Medical Center Ltd 6102 N Sheridan Rd Apt 504 Chicago IL 60660-2866 Ph: (773) 430-8312 | Prime Medical Center Ltd 6201 N California Ave Ste 110 Chicago IL 60659-2672 Ph: (773) 430-8312 |
NPI Number | 1427383025 |
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Provider Enumeration Date | 10/15/2009 |
Last Update Date | 03/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427383025 | NPI | - | NPPES |
036103707 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036103707 (Illinois) | Primary |
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