Prime Care Medical and Physical Therapy Centers, S.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS, S.C.

Practice address

1719 W 18TH St
Chicago, IL 60608-1913

Phone

(312) 421-7010

NPI assigned

Jan 7, 2010

Organization subpart

No

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

Authorized official

Name

Peter Papadopoulos

Title

Business Manager

Phone

(773) 878-3674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1689904039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56590",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606560590",
            "telephone_number": "773-878-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081913",
            "telephone_number": "312-421-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "PAPADOPOULOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "773-878-3674"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Specialists LLC
• Madisyn Arelle Primas, MD
• Jason C Primavera, D.D.S.
• Yevgeniya Primazova
• Ditte Primdahl, MD
• Prime Choice Medical Supplies, Inc.
• Prime Health System ,Inc
• Prime Home Healthcare Services Corporation
• Prime Home Healthcare Services, LLC
• Prime Home Healthcare Services, LLC

• 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 Jan 7, 2010; 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.