Organization
PRIMARY HEALTHCARE ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA PORFIRIO (VICE PRESIDENT/COO)
(708) 915-6314
Entity
Organization
Contact information
Practice address
6701 159TH ST, SUITE 1, TINLEY PARK, IL 60477-1758
(708) 915-6314
(708) 915-2706
Mailing address
6701 159TH ST, SUITE 1, TINLEY PARK, IL 60477-1758
(708) 915-6314
(708) 915-2706
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
036047581
IL
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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