Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Care Medical Center SC

Organization Family Medicine Physician · NPI 1427228642

Prime Care Medical Center SC is a Family Medicine Physician in Montgomery, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
Specialties on file
4

Practice location Address checks out

99 Boulder Hill Pass
Montgomery, IL 60538-1911
Phone: (630) 897-2848
Fax: (630) 897-4498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)
Family Medicine Physician Taxonomy 207Q00000X (IL)
Family Medicine Physician Taxonomy 207Q00000X (IL)
Internal Medicine Physician Taxonomy 207R00000X (IL)

Record details

NPI number1427228642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Tzanetakos — Pres Owner · (630) 897-2848
NPI enumeratedMarch 4, 2008
Last updated in NPPESMarch 4, 2008
Mailing address99 Boulder Hill Pass, Montgomery, IL 60538-1911

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