Organization
PRIME STAR MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIBEL A CABRERA R.N (PRESIDENT)
(224) 387-9498
Entity
Organization
Contact information
Practice address
5704 RED OAK DR, HOFFMAN ESTATES, IL 60192-4584
(224) 387-9498
(847) 742-0460
Mailing address
5704 RED OAK DR, HOFFMAN ESTATES, IL 60192-4584
(224) 387-9498
(847) 742-0460
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
IL
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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