| Priority One Healthcare LLC | |
|
17901 Governors Hwy Homewood IL 60430-1144 | |
| (708) 213-7975 | |
| Not Available |
| Full Name | Priority One Healthcare LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 17901 Governors Hwy, Homewood, Illinois |
| Authorized Official Name and Position | Priya Shastri (PHYSICIAN) |
| Authorized Official Contact | 7089178773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority One Healthcare LLC 17901 Governors Hwy Ste 100 Homewood IL 60430-1145 Ph: (708) 917-8773 | Priority One Healthcare LLC 17901 Governors Hwy Homewood IL 60430-1144 Ph: (708) 213-7975 |
| NPI Number | 1265294409 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 9436658077 |
|---|---|
| Medicare Enrollment ID | O20250819004872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265294409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Priya M Shastri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437101409 PECOS PAC ID: 2163451964 Enrollment ID: I20060613000008 |
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