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Organization
PRIME MEDICAL CENTER LTD
Active
Organization
PRIME MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IQBAL E BHWANI MD (OWNER)
(773) 430-8312
Entity
Organization
Contact information
Practice address
6201 N CALIFORNIA AVE STE 110, CHICAGO, IL 60659-2672
(773) 430-8312
(708) 730-7298
Mailing address
6102 N SHERIDAN RD APT 504, CHICAGO, IL 60660-2866
(773) 430-8312
(708) 730-7298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036103707
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103707
—
IL
Enumeration date
10/15/2009
Last updated
03/30/2011
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