| Primecare Family Physicians, Ltd | |
|
7400 W Addison St Chicago IL 60634-3418 | |
| (773) 625-1900 | |
| (773) 625-5348 |
| Full Name | Primecare Family Physicians, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 7400 W Addison St, Chicago, Illinois |
| Authorized Official Name and Position | Peter Anthony Calabrese (PRESIDIENT) |
| Authorized Official Contact | 7736251900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Family Physicians, Ltd 7400 W Addison St Chicago IL 60634-3418 Ph: (773) 625-1900 | Primecare Family Physicians, Ltd 7400 W Addison St Chicago IL 60634-3418 Ph: (773) 625-1900 |
| NPI Number | 1639204472 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 11/27/2007 |
| Medicare PECOS PAC ID | 9335242866 |
|---|---|
| Medicare Enrollment ID | O20070321000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639204472 | NPI | - | NPPES |
| CN4562 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Efthymia Papanastassiou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033181227 PECOS PAC ID: 2466585518 Enrollment ID: I20100727000416 |
| Provider Name | Peter Anthony Calabrese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891766275 PECOS PAC ID: 4789787219 Enrollment ID: I20100809000310 |
| Provider Name | Camille Denay Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973505 PECOS PAC ID: 3072897560 Enrollment ID: I20170301000248 |
| Provider Name | Sophal Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100632 PECOS PAC ID: 3375812415 Enrollment ID: I20170706000993 |
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