Healthcare Provider Details

I. General information

NPI: 1689666224
Provider Name (Legal Business Name): PRIMARY CARE PHYSICANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 ESSINGTON RD SUITE 100
JOLIET IL
60435-2801
US

IV. Provider business mailing address

1051 ESSINGTON RD SUITE 100
JOLIET IL
60435-2801
US

V. Phone/Fax

Practice location:
  • Phone: 815-744-4440
  • Fax: 815-744-9360
Mailing address:
  • Phone: 815-744-4440
  • Fax: 815-744-9360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. JOSEPH A HINDO IV
Title or Position: PRESIDENT
Credential: MD
Phone: 815-744-4440