Healthcare Provider Details

I. General information

NPI: 1174445480
Provider Name (Legal Business Name): PRIME HEALTH & CLINIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 LAKEVIEW PKWY STE 100
VERNON HILLS IL
60061-1888
US

IV. Provider business mailing address

544 LAKEVIEW PKWY STE 100
VERNON HILLS IL
60061-1888
US

V. Phone/Fax

Practice location:
  • Phone: 346-771-1189
  • Fax: 346-771-1189
Mailing address:
  • Phone: 346-771-1189
  • Fax: 346-771-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAJJAD ALI MUHAMMAD
Title or Position: DME
Credential:
Phone: 34-677-1118