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General NPI Number Information
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NPI Number | 1174445480
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Entity Type | Organization
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Legal Business Name | PRIME HEALTH & CLINIC SERVICES LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 544 LAKEVIEW PKWY STE 100
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City | VERNON HILLS
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State | IL
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Zip | 60061-1888
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Country | US
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Telephone | 346-771-1189
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Fax | 346-771-1189
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Provider Business Mailing Address
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Address Line | 544 LAKEVIEW PKWY STE 100
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City | VERNON HILLS
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State | IL
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Zip | 60061-1888
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Country | US
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Telephone | 346-771-1189
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Fax | 346-771-1189
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Authorized Official
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Title or Position | DME
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Name | SAJJAD ALI MUHAMMAD
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Credential |
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Telephone | 34-677-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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