Organization
PRIME HEALTH CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL KHODARKOVSKIY M.D. (PHYSICIAN)
(847) 970-9922
Entity
Organization
Contact information
Practice address
333 EAST IL ROUTE 83, SUITE 105, MUNDELEIN, IL 60060
(847) 970-9922
(847) 970-9955
Mailing address
333 EAST IL ROUTE 83, SUITE 105, MUNDELEIN, IL 60060
(847) 970-9922
(847) 970-9955
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
IL
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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