NPI 1861137135
Prime Health System ,INC
Practice location
- Address
- 1030 N Clark St STE 647, Chicago, IL 60610-5469
- Phone
- (847) 810-9095
Authorised official
- Name
- Liela Maatouk
- Title
- Administrator
- Phone
- (847) 730-7098
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1861137135
- Entity type
- Organization
- NPI issued
- 2 May 2022
- Record last updated
- 2 May 2022
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.