PRIMESOURCE HEALTHCARE SYSTEMS, INC.


Address: 2100 East Lake Cook Road, Suite 1100, Buffalo Grove, IL 60089-1815
Phone: 8003170711

PRIMESOURCE HEALTHCARE SYSTEMS, INC. (NPI# 1497704126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497704126
Entity Type Organization
Organization Name PRIMESOURCE HEALTHCARE SYSTEMS, INC.
Practice Address 2100 East Lake Cook Road
Suite 1100
Buffalo Grove
IL 60089-1815
Practice Telephone 8003170711
Practice Fax Number 8778216402
Mailing Telephone 8003170711
Mailing Fax Number 8778216402
Enumeration Date 2006-05-09
Last Update Date 2014-02-19
Authorized Official Name MR. DAVID FLEMING (PRESIDENT & CEO)
Authorized Official Telephone 8003170711
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist Dental Providers
N 152W00000X Optometrist Eye and Vision Services Providers
N 231H00000X Audiologist Speech, Language and Hearing Service Providers
N 152WV0400X Optometrist
Specialization: Vision Therapy
Eye and Vision Services Providers
Y 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers
N 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100052700 05
IN 200378850A 05
IN ANTHEM 000000175113 01
IN 200109050 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144619271 Primesource Healthcare Systems, Inc. Audiologist 2100 E Lake Cook Rd, Suite 1100, Buffalo Grove, IL 60089-1999 2015-01-13
1801008644 Primesource Healthcare Systems, Inc. Durable Medical Equipment & Medical Supplies 4449 Easton Way, Second Floor, Columbus, OH 43219-6093 2007-05-04
1831311042 Primesource Healthcare Systems, Inc. Durable Medical Equipment & Medical Supplies 2100 East Lake Cook Road, Suite 1100, Buffalo Grove, IL 60089-1815 2007-05-03

Office Location

Street Address 2100 EAST LAKE COOK ROAD
SUITE 1100
City BUFFALO GROVE
State IL
Zip Code 60089-1815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831311042 Primesource Healthcare Systems, Inc. Durable Medical Equipment & Medical Supplies 2100 East Lake Cook Road, Suite 1100, Buffalo Grove, IL 60089-1815 2007-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841795275 Mary Elizabeth Strain, Phd LLC Psychologist 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 2018-03-27
1861906067 Pdi Medical IIi LLC Pharmacy 1623 Barclay Boulevard, Buffalo Grove, IL 60089 2017-11-27
1487165304 Crystalann Sasha Thomas Social Worker 135 N Arlington Heights Rd., 104, Buffalo Grove, IL 60089 2017-10-18
1801315718 Natalya Sagalov Psychologist 1283 Sandhurst Drive, Buffalo Grove, IL 60089 2017-09-12
1770035859 Transport Auto Inc Non-emergency Medical Transport (VAN) 456 Chicory Ln, Buffalo Grove, IL 60089 2016-10-25
1982062535 Eileen Fang Occupational Therapist 858 Horatio Blvd., Buffalo Grove, IL 60089 2016-02-10
1437538345 Jamie Levin Social Worker 830 Belmar Lane, Buffalo Grove, IL 60089 2015-05-26
1669850756 Cress Chiropractic Inc Chiropractor 1176 Mchenry Road, Buffalo Grove, IL 60089 2015-05-11
1801273123 Vicki Lane Sheehan Dentist 2100 Lake Cook Rd., Suite 1100, Buffalo Grove, IL 60089 2015-05-06
1073918629 Natalya Nagornaya Dds PC Dentist 472 Half Day Rd, Buffalo Grove, IL 60089 2014-10-24
Find all providers in zip 60089

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952798548 Specialized Podiatry, L.L.C. Podiatrist 660 Dunhill Dr, Buffalo Grove, IL 60089-1513 2015-04-21
1891127304 Megan Matassini Ziemer Podiatrist 2100 E Lake Cook Rd Ste 1000, Buffalo Grove, IL 60089-1999 2013-08-07
1043319916 David Bruce Scott Podiatrist 2100 E Lake Cook Rd, Suite 1100, Buffalo Grove, IL 60089-1999 2006-09-21
1902819527 Robert Irwin Epstein Podiatrist 1300 Hidden Lake Dr, Buffalo Grove, IL 60089-6866 2006-08-14
1417970724 Robert K Brogadir Podiatrist 1306 Madison Dr, Buffalo Grove, IL 60089-6826 2006-07-26
1700812732 Michael Warheit Podiatrist 1257 W Dundee Rd, Buffalo Grove, IL 60089-4009 2006-06-23
1497736383 Kevin Bruce Zucker Podiatrist 1311 Madison Dr, Buffalo Grove, IL 60089-6827 2005-11-08
1477713212 Premier Foot & Ankle PC Podiatrist 165 N Arlington Heights Rd, Suite 170, Buffalo Grove, IL 60089-1783 2008-06-16
1639389612 Ashley A Keren Dpm PC Podiatrist 1215 Mchenry Rd, Suite 130a, Buffalo Grove, IL 60089-1388 2007-05-22
1366505109 Kevin B Zucker Dpm PC Podiatrist 1311 Madison Dr, Buffalo Grove, IL 60089-6827 2006-12-19
Find all providers in BUFFALO GROVE

Competitor

Search similar providers

City BUFFALO GROVE
Zip Code 60089

Improve Information

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Dataset Information

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.

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