Prime Time Life Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME TIME LIFE INC

Practice address

207 E Ohio St
Chicago, IL 60611-3238

Phone

(844) 477-6543

Fax

(888) 668-6550

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Adrienne Burford-FoggsNPI 1619921541

Title

MD/Owner

Phone

(844) 477-6543

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adrienne Margaret Burford-Foggs, M.D.

  • Rheumatology Physician
  • Chicago, IL
  • NPI 1619921541
  NPD Authorized official

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1609224427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "STE 2220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "844-477-6543",
            "fax_number": "888-668-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E OHIO ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113238",
            "telephone_number": "844-477-6543",
            "fax_number": "888-668-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TIME LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "BURFORD-FOGGS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "844-477-6543"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Medical Associates LTD
• Prime Medical Center LTD
• Prime Mind Health Services LLC
• Prime Peak Inc
• Prime Plus Lakeview LLC
• Prime Touch Home Care, Inc.
• Primecare Community Health Inc
• Primecare Community Health Inc
• Primecare Community Health Inc
• Primecare Community Health Inc

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

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