ILLINOIS URGENT CARE PROFESSIONALS PLLC NPI 1215407812

NPI Information

  • NPI: 1215407812
  • Provider Name: ILLINOIS URGENT CARE PROFESSIONALS PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 14D2310258
  • Address: 17960 HALSTED ST
    HOMEWOOD, IL
    ZIP 60430
  • Phone: (847) 933-9200

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NPI Details

ILLINOIS URGENT CARE PROFESSIONALS PLLC is a family medicine in Homewood, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ILLINOIS URGENT CARE PROFESSIONALS PLLC NPI is 1215407812. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

17960 HALSTED ST
HOMEWOOD, IL
ZIP 60430-014
Phone: (847) 933-9200

The provider's authorized official is Noorun Khan .
The authorized official title is Owner and has the following contact phone number (847) 933-9200.

The CLIA number assigned to this NPI record is 14D2310258 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 4/29/2025.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QU0200XClinic/CenterUrgent CareNo
3207Q00000XFamily MedicineYes

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: 11/21/2025

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