Primesource Healthcare Of Ohio, Inc. in Buffalo Grove - Podiatrist
Primesource Healthcare Of Ohio, Inc. - NPI 1033245824
Primesource Healthcare Of Ohio, Inc. is a Podiatrist in Buffalo Grove, Illinois. Primesource Healthcare Of Ohio, Inc. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Primesource Healthcare Of Ohio, Inc. is 1033245824. The last update date is 2011-10-11.
Primesource Healthcare Of Ohio, Inc.'s current location address is 2100 East Lake Cook Road, Buffalo Grove, Illinois. You can contact this provider via phone number 8472678200 and fax number 8778216402. The mailing address for Primesource Healthcare Of Ohio, Inc. is 2100 East Lake Cook Road, Buffalo Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primesource Healthcare Of Ohio, Inc. |
|---|---|
| Address | 2100 East Lake Cook Road, Buffalo Grove, Illinois |
| Phone Number | 8472678200 |
| Fax Number | 8778216402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fleming David |
| Telephone Number | 8472678200 |
NPI Number Detail
| NPI Number | 1033245824 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2011-10-11 |
Provider Mailing Address Detail
| Address | 2100 East Lake Cook Road |
|---|---|
| City | Buffalo Grove |
| State | Illinois (IL) |
| Post Code | 600891815 |
| Phone Number | 8472678200 |
| Fax Number | 8778216402 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2719062 | OH | -- | |
| 2734554 | OH | -- | |
| 541771 | OH | ANTHEM | |
| 2733019 | OH | -- | |
| 2758350 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Primesource Healthcare Of Ohio, Inc. by the Centers for Medicare & Medicaid Services?
The Primesource Healthcare Of Ohio, Inc. has been issued the NPI (National Provider Identifier) 1033245824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Primesource Healthcare Of Ohio, Inc. is located?
The Primesource Healthcare Of Ohio, Inc. is situated at the following address: 2100 East Lake Cook Road, Buffalo Grove, IL, 600891815.
What is Primesource Healthcare Of Ohio, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Primesource Healthcare Of Ohio, Inc.'s specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date was the 1033245824 assigned to Primesource Healthcare Of Ohio, Inc.?
The Primesource Healthcare Of Ohio, Inc. was issued its 1033245824 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Primesource Healthcare Of Ohio, Inc. most recently updated or revised?
The details related to Primesource Healthcare Of Ohio, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2011-10-11.
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