institution
Prairie Glen Primary Care, P.c.
Primary Care Clinic/Center in Lemont, Illinois
NPI 1851458699

Prairie Glen Primary Care, P.c. is a Primary Care Clinic/Center based in Lemont, IL and is specialized in Primary Care. Prairie Glen Primary Care, P.c. practices in Lemont, IL. The NPI Number for Prairie Glen Primary Care, P.c. is 1851458699 and holds a License No. 036110756 (Illinois).

The current practice location address for Prairie Glen Primary Care, P.c. is 15505 127Th St, Lemont, IL and can be reached out via phone at 630-257-5400 and via fax at 630-257-1954.

Location: 15505 127Th St, Lemont, IL, 60439-4433
institution
Provider Profile Details
NPI Number
1851458699
Provider Name
Prairie Glen Primary Care, P.c.
Credential
Provider Entity Type
Organization
Address
15505 127Th St, Lemont, IL, 60439-4433
Phone Number
630-257-5400
Fax Number
630-257-1954
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6599328 01 IL CIGNA
01634883 01 IL BLUE CROSS BLUE SHIELD O
036110756 05 IL
276 01 IL SILVER CROSS MANAGED CARE
5936374 01 IL AETNA
institution
Provider Business Practice Location Address Details
Address
15505 127Th St
City
State
Zip
60439-4433
Phone Number
630-257-5400
Fax Number
630-257-1954
person
Provider Business Mailing Address Details
Address
15505 127Th St
City
State
Zip
60439-4433
Phone Number
630-257-5400
Fax Number
630-257-1954
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
036110756 (Illinois)
Definition
Definition to come...
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