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Organization
PRIMARY CARE MEDICAL ASSOCIATES LTD
Active
Organization
PRIMARY CARE MEDICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G PERLMUTER M.D., FACP (PRESIDENT)
(773) 871-4409
Entity
Organization
Contact information
Practice address
1460 N HALSTED ST, SUITE 202, CHICAGO, IL 60642-2605
(773) 871-4409
(773) 871-3608
Mailing address
1460 N HALSTED ST, SUITE 202, CHICAGO, IL 60642-2605
(773) 871-4409
(773) 871-3608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031603190
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
10/11/2006
Last updated
03/21/2011
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