PRIMARY CARE OF ILLINOIS, SC
NPI 1114249125
Internal Medicine in Park Ridge, IL

Active since February 17, 2010CLIA 14D2007322 · Waiver
1550 N NORTHWEST HWY, SUITE 211, PARK RIDGE, IL 60068(847) 768-9300(847) 768-9393 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care Of Illinois, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE OF ILLINOIS, SC (NPI 1114249125) is a healthcare organization registered as an internal medicine in Park Ridge, Illinois and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Eric J Pales, President/owner, as its authorized official.

NPPES Registry Identity

NPI1114249125
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE OF ILLINOIS, SC
Location Address1550 N NORTHWEST HWY, SUITE 211Park Ridge, IL 60068-1411
Mailing Address1550 N Northwest Hwy, Suite 211Park Ridge, IL 60068-1411 · (847) 768-9300 · Fax (847) 768-9393
Fax(847) 768-9393
Organization SubpartNo
Authorized OfficialEric J PalesPresident/owner · (847) 768-9300
Enumeration DateFebruary 17, 2010
Last NPPES UpdateJuly 7, 2015
NPI 1114249125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1550 N NORTHWEST HWY, Park Ridge, IL 60068

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2007322

Primary Care Of Illinois Sc · Park Ridge, IL
Active · expires May 12, 2028
CLIA Number14D2007322
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorEric J. Pales
Laboratory Phone(847) 768-9300
Laboratory LocationPrimary Care Of Illinois Sc1550 N Northwest Hwy, Ste 211, Park Ridge, IL 60068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1550 N NORTHWEST HWY, SUITE 103 C
PARK RIDGE, IL 60068
Orthopaedic Surgery
1550 N NORTHWEST HWY, SUITE 220
PARK RIDGE, IL 60068
Colon & Rectal Surgery
1550 N NORTHWEST HWY, SUITE 107
PARK RIDGE, IL 60068
Orthopaedic Surgery
1550 N NORTHWEST HWY, SUITE 220
PARK RIDGE, IL 60068
Internal Medicine
1550 N NORTHWEST HWY, SUITE 209
PARK RIDGE, IL 60068
Orthopaedic Surgery
1550 N NORTHWEST HWY, SUITE 220
PARK RIDGE, IL 60068
Social Worker (Clinical)
1550 N NORTHWEST HWY, STE 108F
PARK RIDGE, IL 60068
Clinic/Center (Medical Specialty)
1550 N NORTHWEST HWY, SUITE 300
PARK RIDGE, IL 60068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Care Of Illinois, Sc's NPI number?

The NPI number for Primary Care Of Illinois, Sc is 1114249125. It was assigned to this organization in the NPPES registry on February 17, 2010.

Where is Primary Care Of Illinois, Sc located?

Primary Care Of Illinois, Sc is located at 1550 N Northwest Hwy Suite 211, Park Ridge, IL 60068. The listed phone number is (847) 768-9300.

What is Primary Care Of Illinois, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Primary Care Of Illinois, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2007322) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Care Of Illinois, Sc was last updated on July 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.