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General NPI Number Information
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NPI Number | 1053933184
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Entity Type | Organization
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Legal Business Name | PRIMARY HEALTH CARE LLC
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 980 PLAINFIELD RD
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City | WILLOWBROOK
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State | IL
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Zip | 60527-1705
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Country | US
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Telephone | 630-541-6679
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Fax |
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Provider Business Mailing Address
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Address Line | 980 PLAINFIRLAD ROAD
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City | WILLOWBRROK
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State | IL
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Zip | 60527
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Country | US
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Telephone | 630-547-6679
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | FAROOQ ANWAR KHAN
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Credential | MD
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Telephone | 773-416-1013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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