NPIMap

Organization Active NPI

Primeimmediateandprimarycare

  • Primary Care Clinic/Center
  • Naperville, IL
National Provider Identifier
1518313717
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036126023 Issued in IL
Legal business name
PRIMEIMMEDIATEANDPRIMARYCARE
Doing business as
Primeimmediateandprimarycare
Practice address
535 Fairway Dr
Suite #107
Naperville, IL 60563-3938
Phone
(630) 857-3967
Fax
(630) 397-4204
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Dr. Fouzia Muhammedkarim, MDNPI 1508071309
Title
President
Phone
(630) 857-3967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036126023 IL Primary

Addresses

Primary practice location

535 Fairway Dr
Suite #107
Naperville, IL 60563-3938

Mailing address

535 Fairway Dr
Suite #107
Naperville, IL 60563-3938
Phone (630) 857-3967

Other identifiers 1

IdentifierTypeStateIssuer
036126023MedicaidIL

Other names 1

  • PRIMEIMMEDIATEANDPRIMARYCARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prime Immediate and Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1518313717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FAIRWAY DR",
            "address_2": "SUITE #107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633938",
            "telephone_number": "630-857-3967",
            "fax_number": "630-397-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAIRWAY DR",
            "address_2": "SUITE #107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633938",
            "telephone_number": "630-857-3967",
            "fax_number": "630-397-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEIMMEDIATEANDPRIMARYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "MUHAMMEDKARIM",
        "authorized_official_first_name": "FOUZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-857-3967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036126023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126023",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMEIMMEDIATEANDPRIMARYCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.