LAKE COUNTY IMMEDIATE CARE LLC NPI 1508633074

NPI Information

  • NPI: 1508633074
  • Provider Name: LAKE COUNTY IMMEDIATE CARE, LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 1849 GREEN BAY RD STE 171
    HIGHLAND PARK, IL
    ZIP 60035
  • Phone: (847) 901-8400

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NPI Details

LAKE COUNTY IMMEDIATE CARE, LLC is an urgent care clinic center in Highland Park, IL. LAKE COUNTY IMMEDIATE CARE, LLC NPI is 1508633074. The provider is registered as an organization entity type.

The provider's business location address is:

1849 GREEN BAY RD STE 171
HIGHLAND PARK, IL
ZIP 60035-152
Phone: (847) 901-8400
Fax: (847) 901-8410

The provider's authorized official is John V Jurica .
The authorized official title is Medical Director and has the following contact phone number (815) 263-3486.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 12/5/2023.

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: 11/21/2025

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