Healthcare Provider Details

I. General information

NPI: 1114962099
Provider Name (Legal Business Name): MIDWEST IMMEDIATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E SCHAUMBURG RD SUITE 100
SCHAUMBURG IL
60194-5166
US

IV. Provider business mailing address

1375 E SCHAUMBURG RD SUITE 100
SCHAUMBURG IL
60194-5166
US

V. Phone/Fax

Practice location:
  • Phone: 847-891-6850
  • Fax: 847-890-6660
Mailing address:
  • Phone: 847-891-6850
  • Fax: 847-890-6660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MIRZA BAIG
Title or Position: VICE PRESIDENT
Credential:
Phone: 773-744-7864