PRIMECARE COMMUNITY HEALTH INC (NPI# 1205374964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205374964 |
| Entity Type | Organization |
| Organization Name | PRIMECARE COMMUNITY HEALTH INC |
| Practice Address |
1431 N Western Ave Suite 401 Chicago IL 60622-1797 |
| Mailing Address |
2232 N Clybourn Ave Fl 3 Chicago IL 60614-3193 |
| Practice Telephone | 7732695540 |
| Practice Fax Number | 7732695542 |
| Mailing Telephone | 3126335841 |
| Mailing Fax Number | 7732695500 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | JOSEPH MOLDOVAN (CFO/COO) |
| Authorized Official Telephone | 3124915034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1700230398 | Primecare Community Health Inc | Clinic/Center | 1127 N Oakley Blvd, 2nd Floor, Chicago, IL 60622-3507 | 2016-04-20 |
| Street Address |
1431 N WESTERN AVE SUITE 401 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017480 | Ada I Arias Md Sc | Internal Medicine | 1431 N Western Ave, Ste 133, Chicago, IL 60622-1797 | 2005-07-19 |
| 1609302900 | Clemen Gonzalez | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2017-05-05 |
| 1336692359 | Primecare Community Health Inc. | Clinic/Center | 1431 N Western Ave, Suite 209, Chicago, IL 60622-1797 | 2016-07-26 |
| 1760835250 | Teresa Zasowski | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-07-19 |
| 1376994723 | Angie Aybar | Family Medicine | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-06-28 |
| 1598111924 | Roger Alvarez Soto | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-05-04 |
| 1558722074 | Andrea Kuebbeler | Social Worker | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-03-10 |
| 1548640675 | Iffath Hussain | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2015-06-03 |
| 1982083176 | Patrick Porter | Physical Therapist | 1431 N Western Ave, Suite 510, Chicago, IL 60622-1797 | 2015-05-21 |
| 1184039687 | Orthopaedic and Rehabilitation Centers | Orthopaedic Surgery | 1431 N Western Ave, Suite 510, Chicago, IL 60622-1797 | 2014-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
| Find all providers in CHICAGO | ||||
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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.