Organization
NORTHWEST PRIMARY CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DECK (IPA ADMINISTRATOR)
(847) 755-3203
Entity
Organization
Contact information
Practice address
1786 MOON LAKE BLVD, SUITE 110, HOFFMAN ESTATES, IL 60194-5029
(847) 755-3203
(847) 755-3227
Mailing address
1786 MOON LAKE BLVD, SUITE 110, HOFFMAN ESTATES, IL 60194-5029
(847) 755-3203
(847) 755-3227
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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