PRIMARY CARE OF ILLINOIS, SC
NPI 1114249125
Internal Medicine in Park Ridge, IL
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
Specialties & Licenses
Group Practice 1
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, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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.