Provider Demographics
NPI:1689666224
Name:PRIMARY CARE PHYSICANS
Entity Type:Organization
Organization Name:PRIMARY CARE PHYSICANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINDO
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:815-744-4440
Mailing Address - Street 1:1051 ESSINGTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-2801
Mailing Address - Country:US
Mailing Address - Phone:815-744-4440
Mailing Address - Fax:815-744-9360
Practice Address - Street 1:1051 ESSINGTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-2801
Practice Address - Country:US
Practice Address - Phone:815-744-4440
Practice Address - Fax:815-744-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD93454Medicare UPIN
ILL88334Medicare ID - Type Unspecified
ILE98675Medicare UPIN
ILL88333Medicare ID - Type Unspecified