Prime Medical Clinic S.c.
NPI 1659815074 · Adult Medicine Physician · Glenview, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Medical Clinic S.c. is a Adult Medicine Physician organization in Glenview, IL (NPI 1659815074).
Provider details
- NPI number
- 1659815074
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Konstantins Kociasvili, Medical Doctor(773) 507-7434
- License
- 036135325 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-12-05
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Frequently asked questions
- What is Prime Medical Clinic S.c.'s NPI number?
- Prime Medical Clinic S.c.'s National Provider Identifier (NPI) is 1659815074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Medical Clinic S.c.?
- Prime Medical Clinic S.c. is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Medical Clinic S.c. located?
- Prime Medical Clinic S.c.'s practice location on file with NPPES is 3633 W Lake Ave Ste 307, Glenview, IL 60026-5803.
- What is Prime Medical Clinic S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Prime Medical Clinic S.c. is (847) 626-8722.
- Does Prime Medical Clinic S.c. accept Medicare?
- Prime Medical Clinic S.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Medical Clinic S.c.?
- The authorized official listed on Prime Medical Clinic S.c.'s NPPES record is Konstantins Kociasvili, Medical Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Medical Clinic S.c.'s NPI active?
- Yes — Prime Medical Clinic S.c.'s NPI (1659815074) is active in the NPPES registry as of the last update on 2023-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.