Provider Demographics
NPI:1407398274
Name:PRIME CARE CONSULTANTS LLC
Entity Type:Organization
Organization Name:PRIME CARE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DHIMANT
Authorized Official - Middle Name:
Authorized Official - Last Name:VISARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-340-0271
Mailing Address - Street 1:1635 W WISE RD STE 10
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-5476
Mailing Address - Country:US
Mailing Address - Phone:847-340-0271
Mailing Address - Fax:877-334-0712
Practice Address - Street 1:1635 W WISE RD STE 10
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-5476
Practice Address - Country:US
Practice Address - Phone:847-340-0271
Practice Address - Fax:877-334-0712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization