ICARUSMD PLLC NPI 1427859206

NPI Information

  • NPI: 1427859206
  • Provider Name: ICARUSMD PLLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • :
  • Address: 2 NORTHFIELD PLZ STE 350
    NORTHFIELD, IL
    ZIP 60093
  • Phone: (504) 669-1233

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NPI Details

ICARUSMD PLLC is an urgent care clinic center in Northfield, IL. ICARUSMD PLLC NPI is 1427859206. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2 NORTHFIELD PLZ STE 350
NORTHFIELD, IL
ZIP 60093-210
Phone: (504) 669-1233

The provider's authorized official is John Nicholas Moustoukas .
The authorized official title is Dr and has the following contact phone number (504) 669-1233.

The enumeration date for this NPI number is 3/19/2025 and was last updated on 8/1/2025.

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
1261QP2300XClinic/CenterPrimary CareNo
2261QX0100XClinic/CenterOccupational MedicineNo
3261QU0200XClinic/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: 11/21/2025

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