Provider Demographics
NPI:1073646162
Name:PRIORITY CARE, INC.
Entity Type:Organization
Organization Name:PRIORITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-501-9559
Mailing Address - Street 1:333 W DUNDEE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-3545
Mailing Address - Country:US
Mailing Address - Phone:847-229-3474
Mailing Address - Fax:847-229-3475
Practice Address - Street 1:333 W DUNDEE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3545
Practice Address - Country:US
Practice Address - Phone:847-229-3474
Practice Address - Fax:847-229-3475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634458OtherBLUECROSS BLUESHIELD
IL=========0001Medicaid
IL5200110001Medicare ID - Type Unspecified