PRIME HEALTH CARE, LTD
NPI 1922290980
Clinic/Center - Health Service in Mundelein, IL
Active since August 14, 2007
333 EAST IL ROUTE 83, SUITE 105, MUNDELEIN, IL 60060(847) 970-9922(847) 970-9955 Get Directions Write a Review
About Prime Health Care, Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME HEALTH CARE, LTD (NPI 1922290980) is a healthcare organization registered as a health service in Mundelein, Illinois and active in the NPI registry since August 2007. The organization lists Mikhail Khodarkovskiy, Physician, as its authorized official.
NPPES Registry Identity
NPI1922290980
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePRIME HEALTH CARE, LTD
Location Address333 EAST IL ROUTE 83, SUITE 105Mundelein, IL 60060
Mailing Address333 East Il Route 83, Suite 105Mundelein, IL 60060 · (847) 970-9922 · Fax (847) 970-9955
Phone(847) 970-9922
Fax(847) 970-9955
Organization SubpartNo
Authorized OfficialMikhail KhodarkovskiyPhysician · (847) 970-9922
Enumeration DateAugust 14, 2007
✔ NPI 1922290980 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
333 EAST IL ROUTE 83, Mundelein, IL 60060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922290980, enumerated as an "organization" on August 14, 2007.
The provider is located at 333 EAST IL ROUTE 83 SUITE 105 MUNDELEIN, IL 60060 and the phone number is (847) 970-9922.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.