Healthcare Provider Details

I. General information

NPI: 1104940618
Provider Name (Legal Business Name): CAL DEVON URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6208 OAKTON ST
MORTON GROVE IL
60053-2721
US

IV. Provider business mailing address

6208 OAKTON ST
MORTON GROVE IL
60053-2721
US

V. Phone/Fax

Practice location:
  • Phone: 773-262-5400
  • Fax:
Mailing address:
  • Phone: 773-262-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number001
License Number StateIL

VIII. Authorized Official

Name: MIRZA BAIG
Title or Position: PRESIDENT
Credential:
Phone: 773-262-5400