Primary Care Plus LTD

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRIMARY CARE PLUS LTD

Practice address

11101 S State St
Chicago, IL 60628-4206

Phone

(773) 814-8300

NPI assigned

Apr 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed Shafi

Title

President

Phone

(773) 814-8300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1508353665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284206",
            "telephone_number": "773-814-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PLUS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-814-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Prihoda, MS CCC-SLP
• Lamiela Prijic, FNP-BC, FNP-C
• Prima Medicus LLC
• Matthew Lee Primack, DPT
• Primary Care Medical Associates LTD
• Primary Care Providers of Chicago SC
• Primary Care Psychology Associates
• Primary Care Specialists LLC
• Madisyn Arelle Primas, MD
• Jason C Primavera, D.D.S.

• Multi-Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.