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General NPI Number Information
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NPI Number | 1568197945
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Entity Type | Organization
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Legal Business Name | FIRSTCARE URGENT CARE CENTER P.C.
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 7456 S STATE RD STE 104
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City | BEDFORD PARK
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State | IL
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Zip | 60638-6625
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Country | US
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Telephone | 708-265-2702
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 E 53RD ST # 317
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City | CHICAGO
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State | IL
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Zip | 60615-4573
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Country | US
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Telephone | 312-978-2601
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. CLAUDIA BEALS
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Credential | MD
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Telephone | 312-978-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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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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