Prime Care Medical Center Sc
NPI #1427228642 in Montgomery, Illinois
Provider Information
- NPI Number
- 1427228642
- Entity Type
- Organization
- Organization Name
- Prime Care Medical Center Sc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 4, 2008
- Last Updated
- Mar 4, 2008
Practice Location
- Address
- 99 BOULDER HILL PASS
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-1911
- Phone
- (630) 897-2848
Authorized Official
- Name
- MR. NICHOLAS GEORGE TZANETAKOS, MD
- Title
- PRES OWNER
- Phone
- (630) 897-2848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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