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Contact Information

ADVANCED PRIMARY CARE, SC
9201 WAUKEGAN RD
MORTON GROVE, IL60053-2102
 Phone: 847-626-1600
 Fax: 847-626-1650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Community Health

261QC1500X
Indicates primary specialty

NPI Profile & details for ADVANCED PRIMARY CARE, SC

NPI Number 1699958207
LBN Legal business name ADVANCED PRIMARY CARE, SC
Authorized official GEORGE BRODSKY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2007
Last updated 08/30/2021 - About 5 years ago
Identifiers
IL Medicaid 036104522
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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