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PREFERRED URGENT CARE LLC NPI 1881181055


NPI Information

NPI: 1881181055
Provider Name: PREFERRED URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 14D2146857

Address:
4849 W FULLERTON AVE
CHICAGO, IL
ZIP 60639
Phone: (773) 309-6740
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PREFERRED URGENT CARE LLC is an urgent care clinic center in Chicago, IL. PREFERRED URGENT CARE LLC NPI is 1881181055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4849 W FULLERTON AVE
CHICAGO, IL
ZIP 60639-503
Phone: (773) 309-6740
Fax: (773) 237-6606

The provider's authorized official is Tania Khamoo .
The authorized official title is Administrator and has the following contact phone number (773) 309-6740.

The CLIA number assigned to this NPI record is 14D2146857 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2018 and was last updated on 12/14/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208D00000XGeneral PracticeNo
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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.