Prime Care Medical Center Sc
NPI 1427228642 · Family Medicine Physician · Montgomery, IL
Prime Care Medical Center Sc is a Family Medicine Physician organization in Montgomery, IL (NPI 1427228642).
Provider details
- NPI number
- 1427228642
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicholas Tzanetakos, Pres Owner(630) 897-2848
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-03-04
- Last updated
- 2008-03-04
Frequently asked questions
- What is Prime Care Medical Center Sc's NPI number?
- Prime Care Medical Center Sc's National Provider Identifier (NPI) is 1427228642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Care Medical Center Sc?
- Prime Care Medical Center Sc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Care Medical Center Sc located?
- Prime Care Medical Center Sc's practice location on file with NPPES is 99 Boulder Hill Pass, Montgomery, IL 60538-1911.
- What is Prime Care Medical Center Sc's phone number?
- The practice phone number listed in the NPPES registry for Prime Care Medical Center Sc is (630) 897-2848.
- Who is the authorized official for Prime Care Medical Center Sc?
- The authorized official listed on Prime Care Medical Center Sc's NPPES record is Nicholas Tzanetakos, Pres Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Care Medical Center Sc's NPI active?
- Yes — Prime Care Medical Center Sc's NPI (1427228642) is active in the NPPES registry as of the last update on 2008-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.