Prairie Glen Primary Care, P.C.
LBN: Prairie Glen Primary Care, P.C.
Prairie Glen Primary Care, P.C. is an health care organization with primary practice located at 15505 127Th St , Lemont IL 60439-4433. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Prairie Glen Primary Care, P.C. can be contacted via phone (630) 257-5400, or through Heller-Bair, Ilah Marie via phone (630) 257-5400.
Contact Information
Primary practice address
15505 127Th St
Lemont IL 60439-4433
Phone: (630) 257-5400
Fax: (630) 257-1954
Website:
Authorized official contact:
Name: Heller-Bair, Ilah Marie Doctor of Medicine (MD)
Phone: (630) 257-5400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 036110756 | Illinois |
Profile Details
| NPI number | 1851458699 |
|---|---|
| LBN Legal business name | Prairie Glen Primary Care, P.C. |
| DBA Doing business as | |
| Authorized official | Heller-Bair, Ilah Marie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Sep 27th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851458699 | NPPES |
| Illinois | Other | 6599328 | CIGNA |
| Illinois | Other | 01634883 | CIGNA |
| Illinois | MEDICAID | 036110756 | CIGNA |
| Illinois | Other | 276 | CIGNA |
| Illinois | Other | 5936374 | CIGNA |
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