| Prime Care Ltc Consulting Inc | |
|
401 W Lake St Northlake IL 60164-2436 | |
| (708) 409-2318 | |
| Not Available |
| Full Name | Prime Care Ltc Consulting Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 W Lake St, Northlake, Illinois |
| Authorized Official Name and Position | John Robert Haebich (CEO) |
| Authorized Official Contact | 7084092318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Ltc Consulting Inc 401 W Lake St Northlake IL 60164-2436 Ph: () - | Prime Care Ltc Consulting Inc 401 W Lake St Northlake IL 60164-2436 Ph: (708) 409-2318 |
| NPI Number | 1487075073 |
|---|---|
| Provider Enumeration Date | 12/26/2013 |
| Last Update Date | 12/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487075073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |