URGENT MEDICAL CENTER SC NPI 1578960282

NPI Information

NPI: 1578960282
Provider Name: URGENT MEDICAL CENTER SC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 14D2151703

Address:
2004 N PULASKI RD
CHICAGO, IL
ZIP 60639
Phone: (773) 772-8876
Get Directions

URGENT MEDICAL CENTER SC is an urgent care clinic center in Chicago, IL. URGENT MEDICAL CENTER SC NPI is 1578960282. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2004 N PULASKI RD
CHICAGO, IL
ZIP 60639-767
Phone: (773) 772-8876
Fax: (773) 252-3091

The provider's authorized official is Javed Nazir .
The authorized official title is Physician and has the following contact phone number (773) 772-8876.

The CLIA number assigned to this NPI record is 14D2151703 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 11/30/2021.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	036049702	ILLINOIS	No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036049702	MEDICAID	ILLINOIS

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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