Prime Care Ltc Consulting INC

NPI #1487075073 in Northlake, Illinois

Provider Information

NPI Number: 1487075073
Entity Type: Organization
Organization Name: Prime Care Ltc Consulting INC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 26, 2013
Last Updated: Dec 26, 2013

Practice Location

Address: 401 W LAKE ST
City: Northlake
State: Illinois
ZIP Code: 60164-2436
Phone: (708) 409-2318

Authorized Official

Name: DR. JOHN ROBERT HAEBICH, M.D.
Title: CEO
Phone: (708) 409-2318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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