Organization
ELGIN PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY A RADY (BILLING)
(847) 429-0571
Entity
Organization
Contact information
Practice address
1276 W SPRING ST, SOUTH ELGIN, IL 60177-3304
(847) 468-1206
Mailing address
1276 W SPRING ST, SOUTH ELGIN, IL 60177-3304
(847) 468-1206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04528167
BCBS
IL
Enumeration date
04/16/2007
Last updated
08/22/2020
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