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General NPI Number Information
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NPI Number | 1508533266
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Entity Type | Organization
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Legal Business Name | NORTHWEST CHICAGO URGENT CARE SC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 6841 DEMPSTER ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-2628
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Country | US
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Telephone | 224-233-0299
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Fax | 224-233-0288
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Provider Business Mailing Address
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Address Line | PO BOX 10417
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City | HOLYOKE
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State | MA
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Zip | 01041-2017
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Country | US
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Telephone | 630-908-5500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANJAY PATEL
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Credential |
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Telephone | 224-233-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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