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ILLINOIS URGENT CARE PROFESSIONALS PLLC NPI 1215407812


NPI Information

NPI: 1215407812
Provider Name: ILLINOIS URGENT CARE PROFESSIONALS PLLC

Doing Business As: ON DMED URGENT CARE

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

Specialization: Urgent Care

CLIA Number: 14D2188436

Address:
17960 HALSTED ST
HOMEWOOD, IL
ZIP 60430
Phone: (847) 933-9200
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ILLINOIS URGENT CARE PROFESSIONALS PLLC is an urgent care clinic center in Homewood, IL. ILLINOIS URGENT CARE PROFESSIONALS PLLC NPI is 1215407812. The provider is registered as an organization entity type.
The provider Is Doing Business As On Dmed Urgent Care.

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 14D2188436 - other - urgent care with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 6/2/2022.


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
1261QU0200XClinic/CenterUrgent CareYes

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: 5/5/2024

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