INNOVATIVE EXPRESS CARE SC NPI 1104237114

NPI Information

NPI: 1104237114
Provider Name: INNOVATIVE EXPRESS CARE, SC

Doing Business As: INNOVATIVE EXPRESS CARE, SC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 14D2077555

Address:
2400 N ASHLAND AVE
CHICAGO, IL
ZIP 60614
Phone: (312) 622-1062
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INNOVATIVE EXPRESS CARE, SC is an urgent care clinic center in Chicago, IL. INNOVATIVE EXPRESS CARE, SC NPI is 1104237114. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Express Care, Sc.

The provider's business location address is:

2400 N ASHLAND AVE
CHICAGO, IL
ZIP 60614-021
Phone: (312) 622-1062

The provider's authorized official is Rahul Kumar Khare .
The authorized official title is President and has the following contact phone number (312) 622-1062.

The CLIA number assigned to this NPI record is 14D2077555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2014 and was last updated on 5/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	042620280	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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