Park Primary Care Ltd in Evergreen Park - General Practice
Park Primary Care Ltd - NPI 1891984068
Park Primary Care Ltd is a General Practice in Evergreen Park, Illinois. Park Primary Care Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Park Primary Care Ltd is 1891984068. The last update date is 2009-03-16.
Park Primary Care Ltd's current location address is 9760 S Kedzie Ave, Evergreen Park, Illinois. You can contact this provider via phone number 7084238150 and fax number 7084238152. The mailing address for Park Primary Care Ltd is 9760 S Kedzie Ave, Evergreen Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Primary Care Ltd |
|---|---|
| Address | 9760 S Kedzie Ave, Evergreen Park, Illinois |
| Phone Number | 7084238150 |
| Fax Number | 7084238152 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Joseph Thomas |
| Credentials | MD |
| Telephone Number | 7084238150 |
NPI Number Detail
| NPI Number | 1891984068 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2009-03-16 |
Provider Mailing Address Detail
| Address | 9760 S Kedzie Ave |
|---|---|
| City | Evergreen Park |
| State | Illinois (IL) |
| Post Code | 608053109 |
| Phone Number | 7084238150 |
| Fax Number | 7084238152 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA1215 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Park Primary Care Ltd's 1891984068?
The Park Primary Care Ltd's NPI (National Provider Identifier) Number is 1891984068. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Park Primary Care Ltd is geographically located?
The Park Primary Care Ltd is physically situated at the following location: 9760 S Kedzie Ave, Evergreen Park, IL, 608053109.
What is Park Primary Care Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Park Primary Care Ltd is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
When was the Park Primary Care Ltd's 1891984068 issued?
The Park Primary Care Ltd's 1891984068 was issued on 2007-10-23.
As of what date were the Park Primary Care Ltd's details last updated?
The information pertaining to the Park Primary Care Ltd, including its address, specialty, and other details, was most recently updated on 2009-03-16.