Pri-Med Medical Center S C
LBN: Pri-Med Medical Center S C
Pri-Med Medical Center S C is an health care organization with primary practice located at 10715 W 159Th St , Orland Park IL 60467-4531. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Pri-Med Medical Center S C can be contacted via phone (708) 226-4961, or through Khan, Shirin Arif via phone (708) 226-4961.
Contact Information
Primary practice address
10715 W 159Th St
Orland Park IL 60467-4531
Phone: (708) 226-4961
Fax: (708) 364-9301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036085803 | Illinois |
Profile Details
| NPI number | 1205097201 |
|---|---|
| LBN Legal business name | Pri-Med Medical Center S C |
| DBA Doing business as | |
| Authorized official | Khan, Shirin Arif Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Apr 24th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205097201 | NPPES |
| Illinois | MEDICAID | 036085803 | |
| Illinois | Other | 11023950 |
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