Provider Demographics
NPI:1043109754
Name:PRIME HEALTHCARE ASSOCIATES, INC.
Entity type:Organization
Organization Name:PRIME HEALTHCARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DR. CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEZIE
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:815-573-5168
Mailing Address - Street 1:1 DEARBORN SQ STE 639
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-3932
Mailing Address - Country:US
Mailing Address - Phone:815-573-5168
Mailing Address - Fax:815-573-5188
Practice Address - Street 1:1 DEARBORN SQ STE 639
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3932
Practice Address - Country:US
Practice Address - Phone:815-573-5168
Practice Address - Fax:815-573-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty