Healthcare Provider Details

I. General information

NPI: 1942489422
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF ILLINOIS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 WEST DUNDEE ROAD
WHEELING IL
60090-2675
US

IV. Provider business mailing address

5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 847-419-6974
  • Fax: 847-419-6982
Mailing address:
  • Phone: 972-364-8000
  • 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: RAAD A YALDO
Title or Position: PRESIDENT
Credential:
Phone: 972-364-8000