URGICLINIC URGENT CARE PLLC NPI 1982301685

NPI Information

NPI: 1982301685
Provider Name: URGICLINIC URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 14D2275770

Address:
7124 W 83RD ST UNIT C
BRIDGEVIEW, IL
ZIP 60455
Phone: (708) 788-5088
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URGICLINIC URGENT CARE PLLC is an urgent care clinic center in Bridgeview, IL. URGICLINIC URGENT CARE PLLC NPI is 1982301685. The provider is registered as an organization entity type.

The provider's business location address is:

7124 W 83RD ST UNIT C
BRIDGEVIEW, IL
ZIP 60455-034
Phone: (708) 788-5088
Fax: (708) 575-7177

The provider's authorized official is Wael Tinawi .
The authorized official title is Ceo and has the following contact phone number (708) 314-0307.

The CLIA number assigned to this NPI record is 14D2275770 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2023 and was last updated on 5/24/2023.

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
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: 5/5/2024

NPI Synchronization or Removal

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