Healthcare Provider Details

I. General information

NPI: 1700559267
Provider Name (Legal Business Name): ALL TIME URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 09/21/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WASHINGTON ST
INGLESIDE IL
60041-9208
US

IV. Provider business mailing address

214 WASHINGTON ST
INGLESIDE IL
60041-9208
US

V. Phone/Fax

Practice location:
  • Phone: 847-587-3004
  • Fax: 847-587-4325
Mailing address:
  • Phone: 847-587-3004
  • Fax: 847-587-4325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MUHAMMAD HAFEEZ HAROON
Title or Position: OFFICE MANAGER
Credential: MBA
Phone: 847-312-2159