Healthcare Provider Details
I. General information
NPI: 1023136173
Provider Name (Legal Business Name): NOW CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2007
Last Update Date: 03/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
841 N GALENA AVE SUITE 200
DIXON IL
61021-1568
US
IV. Provider business mailing address
841 N GALENA AVE SUITE 200
DIXON IL
61021-1568
US
V. Phone/Fax
- Phone: 815-285-2273
- Fax: 815-285-2276
- Phone: 815-285-2273
- Fax: 815-285-2276
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GREGORY
A
GRUBB
Title or Position: CEO & MEDICAL DIRECTOR
Credential: D.O.
Phone: 815-285-2273