BOLLINGBROOK URGENT CARE S.C NPI 1821359464

NPI Information

  • NPI: 1821359464
  • Provider Name: BOLLINGBROOK URGENT CARE S.C
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: BOLINGBROOK IMMEDIATE CARE
  • CLIA Number: 14D2046138
  • Address: 148 S BOLINGBROOK DR
    BOLINGBROOK, IL
    ZIP 60440
  • Phone: (630) 914-5373

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NPI Details

BOLLINGBROOK URGENT CARE S.C is an urgent care clinic center in Bolingbrook, IL. BOLLINGBROOK URGENT CARE S.C NPI is 1821359464. The provider is registered as an organization entity type.
The provider Is Doing Business As Bolingbrook Immediate Care.

The provider's business location address is:

148 S BOLINGBROOK DR
BOLINGBROOK, IL
ZIP 60440-852
Phone: (630) 914-5373
Fax: (630) 410-8528

The provider's authorized official is Saleha Khan .
The authorized official title is President and has the following contact phone number (630) 430-3892.

The CLIA number assigned to this NPI record is 14D2046138 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 5/30/2012.

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 Care036084178ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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