Healthcare Provider Details

I. General information

NPI: 1982979480
Provider Name (Legal Business Name): ACUTE CARE PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2012
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10100 FOREST HILLS RD # DPT0406
MACHESNEY PARK IL
61115-8234
US

IV. Provider business mailing address

10100 FOREST HILLS RD # DPT0406
MACHESNEY PARK IL
61115-8234
US

V. Phone/Fax

Practice location:
  • Phone: 815-713-2600
  • Fax:
Mailing address:
  • Phone: 815-713-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. BARBARA MONDIK
Title or Position: OWNER
Credential: MD
Phone: 412-720-3043