| Primary Care West, S.c. | |
|
1300 N Highland Ave Ste 2 Aurora IL 60506-1464 | |
| (630) 897-9600 | |
| (630) 897-9625 |
| Full Name | Primary Care West, S.c. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1300 N Highland Ave Ste 2, Aurora, Illinois |
| Authorized Official Name and Position | Tina Bombard (BILLING DIRECTOR) |
| Authorized Official Contact | 6308976851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care West, S.c. 1300 N Highland Ave Ste 2 Aurora IL 60506-1464 Ph: (630) 897-9600 | Primary Care West, S.c. 1300 N Highland Ave Ste 2 Aurora IL 60506-1464 Ph: (630) 897-9600 |
| NPI Number | 1750575940 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750575940 | NPI | - | NPPES |
| 001630376 | Other | BCBS | |
| 201715 | Other | IL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085384 (Illinois) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 036088055 (Illinois) | Primary |
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