Provider Demographics
NPI:1477818961
Name:PRIMARY CARE FOR YOU LTD.
Entity Type:Organization
Organization Name:PRIMARY CARE FOR YOU LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:M
Authorized Official - Last Name:BESHAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-922-1866
Mailing Address - Street 1:3330 W 177TH ST STE 3H
Mailing Address - Street 2:
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2186
Mailing Address - Country:US
Mailing Address - Phone:708-922-1866
Mailing Address - Fax:708-922-3803
Practice Address - Street 1:3330 W 177TH ST STE 3H
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2186
Practice Address - Country:US
Practice Address - Phone:708-922-1866
Practice Address - Fax:708-922-3803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036084972207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14D1041814OtherCLIA WAIVER
IL036084972Medicaid