Prima Medical Practices Inc
NPI 1295332104ActiveOrganization· Family Medicine· Park Ridge, IL
Family Medicine in Park Ridge, Illinois, registered in NPPES in October 2020. The authorized official on file is Larisa Lev, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295332104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2020 |
| Last updated in NPPES | Dec 28, 2020 |
| Certified by provider | Dec 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
Other Family Medicine providers in Park Ridge
- 1316310956
- 1629000732
- 1649149402
- 1831301688
- 1366000648
- 1518074608
- 1235495631
- 1467501171
- 1477276400
- 1699204883
- 1235204397
- 1457326324