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NPI · 1659815074 · NPPES-sourced

Prime Medical Clinic S.C.

ActiveAdult Medicine Physician
NPI Number
1659815074
Type 2 · Organisation
Taxonomy Code
207QA0505X
Contact
(847) 626-8722
License IL · 036135325
Last Updated
Enumerated
Primary practice addressIL · 60026-5803
3633 W Lake Ave Ste 307Glenview, IL 60026-5803
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About this NPIWhat this record shows.

NPI 1659815074 is registered to Prime Medical Clinic S.C., a healthcare organisation classified as "Adult Medicine Physician" and located at 3633 W Lake Ave Ste 307 in Glenview, Illinois. The organisation's authorised official is Konstantins Kociasvili. The organisation has been enumerated in the NPI registry since 2016.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Prime Medical Clinic S.C. accepts. To confirm in-network status with your specific health plan, contact Prime Medical Clinic S.C. directly at (847) 626-8722.

Frequently asked

Yes. NPI 1659815074 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adult Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (847) 626-8722.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Prime Medical Clinic S.C. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207QA0505X
Last updated
Enumerated
StatusActive
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