Graduated: 1985
Offers telehealth
NPI: 1710085535
Practice Locations (4)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 PROVENA WAY, SUITE 103
BOURBONNAIS, IL 609144797
8159378780
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
656 N CONVENT ST
BOURBONNAIS, IL 609141393
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
501 S LOCUST ST
MANTENO, IL 609501654
8154686737
Source: CMS National Downloadable File, September 2026.