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Organization

PRIMEHEALTH OF ILLINOIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH KING (OWNER)
(800) 317-0711
Entity
Organization

Contact information

Practice address
2100 E LAKE COOK RD, SUITE 1100, BUFFALO GROVE, IL 60089-1999
(800) 317-0711
Mailing address
2100 E LAKE COOK RD, SUITE 1100, BUFFALO GROVE, IL 60089-1999
(800) 317-0711

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
152W00000X
Optometrist
213E00000X
Podiatrist
Primary
231H00000X
Audiologist

Other

Enumeration date
08/02/2016
Last updated
08/02/2016
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