PRIMARY CARE SPECIALISTS, LLC

BLOOMINGTON, IL
NPI1154556843
Entity TypeOrganization
Authorized ContactSRIVALLI VEGI
Owner
636-579-6778
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: IL  036121501)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  036121501)
Enumeration Date2009-05-25
Last Update Date2010-04-15
Business Address
PRIMARY CARE SPECIALISTS, LLC
2 AIRLINE DR SUITE 500
BLOOMINGTON, IL 61704-3433
Phone number: 636-579-6778
Mailing Address
PRIMARY CARE SPECIALISTS, LLC
2 AIRLINE DR SUITE 500
BLOOMINGTON, IL 61704-3433
Phone number: