Organization
PRIMARY CARE PLUS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED SHAFI (PRESIDENT)
(773) 814-8300
Entity
Organization
Contact information
Practice address
11101 S STATE ST, CHICAGO, IL 60628-4206
(773) 814-8300
Mailing address
11101 S STATE ST, CHICAGO, IL 60628-4206
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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