Healthcare Provider Details

I. General information

NPI: 1427038215
Provider Name (Legal Business Name): PHYSICIANS PROMPT CARE CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18210 LA GRANGE RD SUITE 110
TINLEY PARK IL
60487-7723
US

IV. Provider business mailing address

18210 LA GRANGE RD SUITE 110
TINLEY PARK IL
60487-7723
US

V. Phone/Fax

Practice location:
  • Phone: 708-478-2500
  • Fax: 708-478-2040
Mailing address:
  • Phone: 708-478-2500
  • Fax: 708-478-2040

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. JAMES A RICHARDSON
Title or Position: OWNER
Credential: MD
Phone: 708-478-2500