PRIMARY CARE WEST, S.C. (NPI# 1154478766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154478766 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE WEST, S.C. |
| Practice Address |
1300 N Highland Ave Suite 2 Aurora IL 60506-1451 |
| Practice Telephone | 6308979606 |
| Practice Fax Number | 6308979625 |
| Mailing Telephone | 6308979606 |
| Mailing Fax Number | 6308979625 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | DAVE MANTE (PRESIDENT) |
| Authorized Official Telephone | 6308979606 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
042617613 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750575940 | Primary Care West, S.c. | Internal Medicine | 1300 N Highland Ave Ste 2, Aurora, IL 60506-1464 | 2007-08-30 |
| Street Address |
1300 N HIGHLAND AVE SUITE 2 |
| City | AURORA |
| State | IL |
| Zip Code | 60506-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306829353 | Aurora Pediatric Clinic Sc | Pediatrics | 1300 N Highland Ave, Ste 4, Aurora, IL 60506-1451 | 2005-11-23 |
| 1366075152 | Tiffany Kozlick | Nurse Practitioner | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2020-02-20 |
| 1487100632 | Sophal Martinez | Registered Nurse | 1300 N Highland Ave, 5, Aurora, IL 60506-1451 | 2016-08-28 |
| 1457627382 | Candice Phillips | Advanced Practice Midwife | 1300 N Highland Ave, Suite 5, Aurora, IL 60506-1451 | 2012-03-26 |
| 1013227214 | Sean Michael Rardin S.c. | Clinic/Center | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2010-10-21 |
| 1407189731 | Starrett Medical Associates Sc | General Practice | 1300 N Highland Ave, Ste. 10, Aurora, IL 60506-1451 | 2009-09-18 |
| 1568586733 | Cristina S Brotea M D Sc | Family Medicine | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2007-03-16 |
| 1346364502 | Cristina S Brotea | Family Medicine | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2007-03-16 |
| 1871636670 | John William Lamiot | Podiatrist | 1300 N Highland Ave, Suite 7, Aurora, IL 60506-1451 | 2007-02-14 |
| 1427105022 | Josephine Mante | Family Medicine | 1300 N Highland Ave, Suite 2, Aurora, IL 60506-1451 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1205468493 | Tri-county Health Department | Clinic/Center | 9000 E Colfax Ave, Aurora, CO 80010-5030 | 2020-02-06 |
| 1336771534 | Tri-county Health Department | Clinic/Center | 15192 E Hampden Ave, Aurora, CO 80014-3906 | 2020-02-06 |
| 1295186013 | High Dentistry | Clinic/Center | 1450 S Havana St Ste 720, Aurora, CO 80012-4034 | 2016-06-22 |
| 1700418902 | Tri-county Health Department | Clinic/Center | 15400 E 14th Pl, Aurora, CO 80011-5818 | 2020-02-06 |
| 1588136840 | Willow Women and Children's Wellness, LLC | Clinic/Center | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2018-12-27 |
| 1811350374 | Well Focused, LLC | Clinic/Center | 3412 S Jebel Ct, Aurora, CO 80013-9020 | 2016-04-01 |
| 1871908327 | Phlebotomy Mobile Services, LLC | Clinic/Center | 2323 S Troy St, Bldg 5 Ste 101, Aurora, CO 80014-1946 | 2014-06-24 |
| 1467893784 | Us Medgroup of Illinois PC | Clinic/Center | 4000 Ogden Ave, Aurora, IL 60504-7105 | 2013-07-15 |
| 1861759763 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 15490 E Smoky Hill Rd, Aurora, CO 80015-1494 | 2012-04-16 |
| 1275864449 | Grace Health Clinic | Clinic/Center | 10 S Havana St, Ste 103, Aurora, CO 80012-6431 | 2010-01-27 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.