Organization
PRIMARY CARE WEST, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE MANTE M.D. (PRESIDENT)
(630) 897-9606
Entity
Organization
Contact information
Practice address
1300 N HIGHLAND AVE, SUITE 2, AURORA, IL 60506-1451
(630) 897-9606
(630) 897-9625
Mailing address
1300 N HIGHLAND AVE, SUITE 2, AURORA, IL 60506-1451
(630) 897-9606
(630) 897-9625
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
042617613
IL
Other
Enumeration date
01/04/2007
Last updated
02/03/2011
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