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Primesource Healthcare Systems, Inc.

Podiatrist in Buffalo Grove, IL · enumerated 2006 · authorized official David Fleming, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497704126

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Registry record

Entity type Organization (Type 2)
Legal business name Primesource Healthcare Systems, Inc.
Practice address 2100 East Lake Cook Road, Suite 1100, Buffalo Grove, IL, 60089
Phone (800) 317-0711
Fax (877) 821-6402
Enumeration date May 9, 2006
Last updated in NPPES Feb 19, 2014

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Secondary
152W00000X Optometrist Eye and Vision Services Providers Secondary
152WV0400X Vision Therapy Optometrist Eye and Vision Services Providers Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary
231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name David Fleming
Title President & Ceo
Phone (800) 317-0711

Other identifiers

Identifier Type State Issuer
100052700 Medicaid IN -
200109050 Medicaid IN -
000000175113 Other IN ANTHEM
200378850A Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Primesource Healthcare Systems, Inc.?
The NPI for Primesource Healthcare Systems, Inc. is 1497704126, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Primesource Healthcare Systems, Inc.?
NPPES lists David Fleming (President & Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-19.