NPI 1063844934
Primary Healthcare Associates, Sc
Practice location
- Address
- 6701 159th St Suite 1, Tinley Park, IL 60477-1758
- Phone
- (708) 915-6314
- Fax
- (708) 915-2706
Authorised official
- Name
- Tamara Porfirio
- Title
- Vice President/Coo
- Phone
- (708) 915-6314
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1063844934
- Entity type
- Organization
- NPI issued
- 2 Aug 2013
- Record last updated
- 2 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.