Primary Healthcare Associates, SC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

036047581 Issued in IL

Legal business name

PRIMARY HEALTHCARE ASSOCIATES, SC

Practice address

6701 159TH St
Suite 1
Tinley Park, IL 60477-1758

Phone

(708) 915-6314

Fax

(708) 915-2706

NPI assigned

Aug 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Porfirio

Title

Vice President/Coo

Phone

(708) 915-6314

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Narendra J Amin, M.D.

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1134119035
  NPD (past)
• Vasantha J Sastry, M.D.

  • Gynecology Physician
  • Flossmoor, IL
  • NPI 1760481287
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1063844934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 159TH ST",
            "address_2": "SUITE 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771758",
            "telephone_number": "708-915-6314",
            "fax_number": "708-915-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 159TH ST",
            "address_2": "SUITE 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771758",
            "telephone_number": "708-915-6314",
            "fax_number": "708-915-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "PORFIRIO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "VICE PRESIDENT/COO",
        "authorized_official_telephone_number": "708-915-6314"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IL",
            "license": "036047581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zibute Pranckevicius, PTA
• Precision Diagnostics
• Precision Diagnostics, LLC
• Tammy A. Price, OTR/L, CLVT
• Primary Care Partners LLC
• Primus Orthopedics SC
• Gregory Lamar Primus, M.D.
• Abigail Marie Prischman
• Professional Counseling Services LTD
• Progressive Radiology of Illinois, LLC

• Non-Pharmacy Dispensing Site in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Non-Pharmacy Dispensing Site in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.