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14D2177829 CLIA NUMBER - WESTLAKE URGENT CARE N F P

Laboratory Demographics

CLIA Number: 14D2177829

Facility Name: WESTLAKE URGENT CARE N F P

Facility Address:
1419 W LAKE ST
MELROSE PARK, IL
ZIP 60160
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Facility Phone Number: 708 690-1911

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver
NPI Number: 1235475708

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D2177829
LAB Type Other - URGENT CARE CENTER
Facility Name WESTLAKE URGENT CARE N F P
Street 1419 W LAKE ST
City MELROSE PARK
State IL
ZIP 60160
Phone 708 690-1911
CertificateType 4
CertificateEffectiveDate 1/21/2024
CertificateExpirationDate 1/20/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024