Active NPI
Primehealth Group LLC
- Podiatrist
- Buffalo Grove, IL
National Provider Identifier
1861945255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PRIMEHEALTH GROUP LLC
- Practice address
- 2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089-1999 - Phone
- (800) 317-0711
- NPI assigned
- Aug 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth King
- Title
- Owner
- Phone
- (800) 317-0711
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Optometrist | 152W00000X | |||
| Podiatrist | 213E00000X | Primary | ||
| Audiologist | 231H00000X |
Addresses
Primary practice location
2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089-1999
Mailing address
2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089-1999
Phone (800) 317-0711
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1861945255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 E LAKE COOK RD",
"address_2": "SUITE 1100",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891999",
"telephone_number": "800-317-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 E LAKE COOK RD",
"address_2": "SUITE 1100",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891999",
"telephone_number": "800-317-0711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMEHEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-317-0711"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.