NPI | 1730235870 |
---|---|
Doing Business As | PRIMECARE NORTHWEST |
Entity Type | Organization |
Authorized Contact | JOSEPH MOLDOVAN Chief Financial Officer 312-491-5034 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-01-25 |
Last Update Date | 2017-10-26 |