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

Primesource Healthcare Systems, Inc

Organization Dentist · NPI 1497704126

Primesource Healthcare Systems, Inc is a Dentist in Buffalo Grove, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 E Lake Cook Rd Ste 1100
Buffalo Grove, IL 60089-1815
Phone: (800) 317-0711
Fax: (877) 821-6402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X
Dentist Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X
Optometrist Taxonomy 152W00000X
Vision Therapy Optometrist Taxonomy 152WV0400X
Audiologist Taxonomy 231H00000X

Record details

NPI number1497704126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fleming — President & Ceo · (800) 317-0711
NPI enumeratedMay 9, 2006
Last updated in NPPESFebruary 19, 2014
Mailing address2100 East Lake Cook Road, Suite 1100, Buffalo Grove, IL 60089-1815

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