Healthcare Provider Details

I. General information

NPI: 1922316967
Provider Name (Legal Business Name): URGENT CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 45TH AVE
MUNSTER IN
46321-3914
US

IV. Provider business mailing address

55 E 86TH AVE
MERRILLVILLE IN
46410-6382
US

V. Phone/Fax

Practice location:
  • Phone: 219-513-0999
  • Fax: 219-513-9032
Mailing address:
  • Phone: 219-769-1670
  • Fax: 219-738-6714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number01039726
License Number StateIN

VIII. Authorized Official

Name: SHAHEEN PARVEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 219-513-0999