Prairie Glen Primary Care, P.C. in Lemont - Primary Care
Prairie Glen Primary Care, P.C. - NPI 1851458699
Prairie Glen Primary Care, P.C. is a Primary Care in Lemont, Illinois. Prairie Glen Primary Care, P.C. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Prairie Glen Primary Care, P.C. is 1851458699. The last update date is 2011-09-27.
Prairie Glen Primary Care, P.C.'s current location address is 15505 127th St, Lemont, Illinois. You can contact this provider via phone number 6302575400 and fax number 6302571954. The mailing address for Prairie Glen Primary Care, P.C. is 15505 127th St, Lemont, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Glen Primary Care, P.C. |
|---|---|
| Address | 15505 127th St, Lemont, Illinois |
| Phone Number | 6302575400 |
| Fax Number | 6302571954 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Heller-Bair Marie Ilah |
| Credentials | MD |
| Telephone Number | 6302575400 |
NPI Number Detail
| NPI Number | 1851458699 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2011-09-27 |
Provider Mailing Address Detail
| Address | 15505 127th St |
|---|---|
| City | Lemont |
| State | Illinois (IL) |
| Post Code | 604394433 |
| Phone Number | 6302575400 |
| Fax Number | 6302571954 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 36110756 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique identifier code issued to Prairie Glen Primary Care, P.C. by the Centers for Medicare & Medicaid Services?
The Prairie Glen Primary Care, P.C. has been assigned the NPI (National Provider Identifier) 1851458699. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Prairie Glen Primary Care, P.C.?
The Prairie Glen Primary Care, P.C. is situated at 15505 127Th St, in the city of Lemont, state of IL, with the zip code 604394433.
What is the Prairie Glen Primary Care, P.C.'s specialty and taxonomy code?
The Prairie Glen Primary Care, P.C.'s specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did the Prairie Glen Primary Care, P.C. receive the assignment of its 1851458699 from the Centers for Medicare & Medicaid Services?
The Prairie Glen Primary Care, P.C. was issued its 1851458699 by the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the information related to Prairie Glen Primary Care, P.C. most recently updated or refreshed?
The details pertaining to the Prairie Glen Primary Care, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-27.