PRIME CARE MEDICAL CENTER SC
NPI 1427228642
Family Medicine in Montgomery, IL

Active since March 04, 2008
99 BOULDER HILL PASS, MONTGOMERY, IL 60538(630) 897-2848(630) 897-4498 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prime Care Medical Center Sc NPPES

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

PRIME CARE MEDICAL CENTER SC (NPI 1427228642) is a healthcare organization registered as a family medicine in Montgomery, Illinois and active in the NPI registry since March 2008. The organization lists Nicholas George Tzanetakos, Pres Owner, as its authorized official.

NPPES Registry Identity

NPI1427228642
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIME CARE MEDICAL CENTER SC
Location Address99 BOULDER HILL PASSMontgomery, IL 60538-1911
Mailing Address99 Boulder Hill PassMontgomery, IL 60538-1911 · (630) 897-2848 · Fax (630) 897-4498
Fax(630) 897-4498
Organization SubpartNo
Authorized OfficialNicholas George TzanetakosPres Owner · (630) 897-2848
Enumeration DateMarch 4, 2008
NPI 1427228642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
99 BOULDER HILL PASS, Montgomery, IL 60538

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Radiology (Diagnostic Radiology)
99 BOULDER HILL PASS
MONTGOMERY, IL 60538
Family Medicine
99 BOULDER HILL PASS
MONTGOMERY, IL 60538
Internal Medicine
99 BOULDER HILL PASS
MONTGOMERY, IL 60538

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 Prime Care Medical Center Sc's NPI number?

The NPI number for Prime Care Medical Center Sc is 1427228642. It was assigned to this organization in the NPPES registry on March 4, 2008.

Where is Prime Care Medical Center Sc located?

Prime Care Medical Center Sc is located at 99 Boulder Hill Pass, Montgomery, IL 60538. The listed phone number is (630) 897-2848.

What is Prime Care Medical Center Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Prime Care Medical Center Sc was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.