Healthcare Provider Details

I. General information

NPI: 1114798352
Provider Name (Legal Business Name): SWIFT HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 W 95TH ST
OAK LAWN IL
60453-2778
US

IV. Provider business mailing address

8801 CRANBROOK LN
BRIDGEVIEW IL
60455-2009
US

V. Phone/Fax

Practice location:
  • Phone: 708-682-6477
  • Fax:
Mailing address:
  • Phone: 708-682-6477
  • 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: MISS NAHAWAND KISHTA
Title or Position: FAMILY NURSE PRACTITIONER
Credential: FNP
Phone: 708-682-6477