Provider Demographics
NPI:1720029549
Name:PROMPT MEDICAL CARE INC
Entity Type:Organization
Organization Name:PROMPT MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANOBER
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEM KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-795-4200
Mailing Address - Street 1:6903 CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2176
Mailing Address - Country:US
Mailing Address - Phone:708-795-4200
Mailing Address - Fax:708-795-4205
Practice Address - Street 1:6903 CERMAK RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2176
Practice Address - Country:US
Practice Address - Phone:708-795-4200
Practice Address - Fax:708-795-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL702510Medicare ID - Type Unspecified