Healthcare Provider Details

I. General information

NPI: 1598683112
Provider Name (Legal Business Name): PRIMIS HEALTH SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 CABOT DR STE 190
LISLE IL
60532-4617
US

IV. Provider business mailing address

2300 CABOT DR STE 190
LISLE IL
60532-4617
US

V. Phone/Fax

Practice location:
  • Phone: 630-253-2808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JERRY CHAO
Title or Position: PRESIDENT
Credential:
Phone: 630-253-2808