Primehealth of Illinois INC

NPI #1558808261 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1558808261
Entity Type: Organization
Organization Name: Primehealth of Illinois INC
Primary Specialty: Podiatrist
Enumeration Date: Jan 20, 2017
Last Updated: Mar 21, 2017

Practice Location

Address: 2100 E LAKE COOK RD
Address 2: SUITE 1000
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-1999
Phone: (224) 632-5613

Authorized Official

Name: KENNETH KING
Title: OWNER
Phone: (844) 882-3127

Specialties & Taxonomy Codes

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

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