Healthcare Provider Details

I. General information

NPI: 1912844168
Provider Name (Legal Business Name): ULTRA URGENT AND PAIN MANAGEMENT CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 W HIGGINS RD
HOFFMAN ESTATES IL
60169-4918
US

IV. Provider business mailing address

138 W HIGGINS RD
HOFFMAN ESTATES IL
60169-4918
US

V. Phone/Fax

Practice location:
  • Phone: 630-776-4694
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TARIQ SIDDIQUI
Title or Position: PRESIDENT
Credential:
Phone: 630-776-4694