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General NPI Number Information
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NPI Number | 1578960282
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Entity Type | Organization
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Legal Business Name | URGENT MEDICAL CENTER SC
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 2004 N PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60639-3767
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Country | US
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Telephone | 773-772-8876
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Fax | 773-252-3091
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Provider Business Mailing Address
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Address Line | 2004 N PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60639-3767
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Country | US
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Telephone | 773-772-8876
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Fax | 773-252-3091
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAVED NAZIR
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Credential | M.D.
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Telephone | 773-772-8876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 036049702
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License Number State | IL
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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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