ISLAND LAKE URGENT CARE INC NPI 1518445675

NPI Information

NPI: 1518445675
Provider Name: ISLAND LAKE URGENT CARE INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
521 KORA LANE
ISLAND LAKE, IL
ZIP 60042
Phone: (847) 469-6971
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ISLAND LAKE URGENT CARE INC is an urgent care clinic center in Island Lake, IL. ISLAND LAKE URGENT CARE INC NPI is 1518445675. The provider is registered as an organization entity type.

The provider's business location address is:

521 KORA LANE
ISLAND LAKE, IL
ZIP 60042-438
Phone: (847) 469-6971
Fax: (847) 469-6974

The provider's authorized official is Reginald Ebirim .
The authorized official title is President and has the following contact phone number (217) 433-4418.

The enumeration date for this NPI number is 8/1/2018 and was last updated on 8/1/2018.

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			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

NPI Synchronization or Removal

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