Healthcare Provider Details
I. General information
NPI: 1538812730
Provider Name (Legal Business Name): GOLF URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2022
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1033 W GOLF RD
HOFFMAN ESTATES IL
60169-1339
US
IV. Provider business mailing address
1692 ACORN DR
HOFFMAN ESTATES IL
60192-4615
US
V. Phone/Fax
- Phone: 224-520-2549
- Fax:
- Phone: 224-520-2549
- Fax:
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.
AKBER
KHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 224-520-2549