Healthcare Provider Details

I. General information

NPI: 1669642609
Provider Name (Legal Business Name): ALL TIME URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17577 KEDZIE AVE SUITE 108
HAZEL CREST IL
60429-2051
US

IV. Provider business mailing address

17577 KEDZIE AVE SUITE 108
HAZEL CREST IL
60429-2051
US

V. Phone/Fax

Practice location:
  • Phone: 708-922-3300
  • Fax: 847-890-6660
Mailing address:
  • Phone: 708-922-3300
  • Fax: 847-890-6660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: VIKAS BHATARA
Title or Position: MEDICAL DIRECTOR/ OWENER
Credential: M.D.
Phone: 708-922-3300