Primesource Healthcare Systems, Inc.

NPI #1144619271 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1144619271
Entity Type: Organization
Organization Name: Primesource Healthcare Systems, Inc.
Primary Specialty: Podiatrist
Enumeration Date: Jan 13, 2015
Last Updated: Jan 13, 2015

Practice Location

Address: 2100 E LAKE COOK RD
Address 2: SUITE 1100
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-1999
Phone: (800) 317-0711

Authorized Official

Name: DAVID FLEMING
Title: CEO/PRESIDENT
Phone: (800) 317-0711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X
Dentist	122300000X
Optometrist	152W00000X
Podiatrist	213E00000X	Primary

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