Primesource Healthcare Systems, Inc.

LBN: Primesource Healthcare Systems, Inc.
Primesource Healthcare Systems, Inc. is an health care organization with primary practice located at 2100 East Lake Cook Road Suite 1100, Buffalo Grove IL 60089-1815. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy, Podiatric Medicine & Surgery Service Providers / Podiatrist, Speech, Language and Hearing Service Providers / Audiologist. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Primesource Healthcare Systems, Inc. can be contacted via phone (800) 317-0711, or through Fleming, David via phone (800) 317-0711.

Contact Information

Primary practice address
2100 East Lake Cook Road Suite 1100 Buffalo Grove IL 60089-1815
Phone: (800) 317-0711
Fax: (877) 821-6402
Website:
Map and Directions
Authorized official contact:
Name: Fleming, David
Phone: (800) 317-0711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Vision Therapy 152WV0400X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1497704126
LBN Legal business name Primesource Healthcare Systems, Inc.
DBA Doing business as
Authorized official Fleming, David
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Feb 19th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497704126 NPPES
Indiana MEDICAID 100052700
Indiana MEDICAID 200109050
Indiana Other 000000175113
Indiana MEDICAID 200378850A

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