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Organization
PRIME CARE LTC CONSULTING INC
Active
Organization
PRIME CARE LTC CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT HAEBICH M.D. (CEO)
(708) 409-2318
Entity
Organization
Contact information
Practice address
401 W LAKE ST, NORTHLAKE, IL 60164-2436
(708) 409-2318
Mailing address
401 W LAKE ST, NORTHLAKE, IL 60164-2436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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