Prima Medical Practices Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMA MEDICAL PRACTICES INC

Doing business as

Prima Medical Practices INC

Practice address

1875 Dempster St Ste 110
Park Ridge, IL 60068-1125

Phone

(847) 897-9010

Fax

(847) 692-2129

NPI assigned

Oct 4, 2020

Last updated

Dec 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larisa Lev

Title

Owner

Phone

(847) 897-9010

Specialties & licenses 1

Addresses

Other names 1

• Prima Medical Practices INC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Merchant Adams, A.P.N.

  • Primary Care Nurse Practitioner
  • Park Ridge, IL
  • NPI 1891156444
  Medicare reassignment NPD
• Michael Castaneda

  • Family Nurse Practitioner
  • Park Ridge, IL
  • NPI 1114543055
  Medicare reassignment NPD
• Mary-Jennelle Guevara

  • Acute Care Nurse Practitioner
  • Park Ridge, IL
  • NPI 1225397268
  Medicare reassignment NPD
• Andrey Lev-Weissberg, MD

  • Internal Medicine Physician
  • Park Ridge, IL
  • NPI 1245206655
  Medicare reassignment NPD
• Isabel Lev

  • Occupational Therapist
  • Park Ridge, IL
  • NPI 1881418846
  Medicare reassignment NPD (past)
• Analise Frances Schuler, PA-C

  • Medical Physician Assistant
  • Park Ridge, IL
  • NPI 1215773379
  Medicare reassignment
• Volha Haliantava, M.D.

  • Family Medicine Physician
  • Lake Geneva, WI
  • NPI 1598008351
  NPD (past)

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1295332104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 HELEN DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622527",
            "telephone_number": "847-897-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 110",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681125",
            "telephone_number": "847-897-9010",
            "fax_number": "847-692-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA MEDICAL PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "LEV",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-897-9010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prima Medical Practices INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prima Medical Practices INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Katherine Prezas
• Elizabeth Price, DO
• Primary Care Center, S.C.
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• Prime Care Resource, Inc.
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• Prime Home Health Services, Inc.

• Family Medicine Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.