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Organization
PRIMARY CARE NORTH, SC
Active
Organization
PRIMARY CARE NORTH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY P PATEL M.D. (PRESIDENT)
(847) 391-9944
Entity
Organization
Contact information
Practice address
150 N RIVER RD, SUITE 220, DES PLAINES, IL 60016-1272
(847) 391-9944
(847) 391-9955
Mailing address
150 N RIVER RD, SUITE 220, DES PLAINES, IL 60016-1272
(847) 391-9944
(847) 391-9955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623420
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
05/26/2006
Last updated
08/22/2020
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