Provider Demographics
NPI:1760577829
Name:PRIMARY HEALTH ASSOCIATES PC
Entity Type:Organization
Organization Name:PRIMARY HEALTH ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOHSE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-301-1400
Mailing Address - Street 1:16604 S 107TH CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-8898
Mailing Address - Country:US
Mailing Address - Phone:708-675-1620
Mailing Address - Fax:708-675-1635
Practice Address - Street 1:16604 S 107TH CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-8898
Practice Address - Country:US
Practice Address - Phone:708-675-1620
Practice Address - Fax:708-675-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1114785832OtherANGELA S THIEL PT NPI
IL1679511901OtherDR DAVID DOHSE NPI
IL1770521007OtherDR JAMES MAGEE NPI
IL1841244043OtherDR ROBERT WRONA NPI
IL1841238029OtherDR JOHN PANOZZO NPI
IL1154369395OtherDR DONALD GERRY NPI
IL1912950916OtherDR R DIPASQUO NPI
IL1215953559OtherDR PAUL STRIEGEL NPI
IL1629016803OtherDR JAMES TESS NPI
IL1184678377OtherDR SUSAN MARCOTTE NPI
IL1790723088OtherDR JOHN HERBICK NPI