Organization
PRIMARY CARE WEST, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA BOMBARD III (BILLING DIRECTOR)
(630) 897-6851
Entity
Organization
Contact information
Practice address
1300 N HIGHLAND AVE STE 2, AURORA, IL 60506-1464
(630) 897-9600
(630) 897-9625
Mailing address
1300 N HIGHLAND AVE STE 2, AURORA, IL 60506-1464
(630) 897-9600
(630) 897-9625
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036088055
IL
207R00000X
Internal Medicine Physician
036085384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001630376
BCBS
—
01
—
201715
MEDICARE GROUP
IL
Enumeration date
08/30/2007
Last updated
02/14/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us