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General NPI Number Information
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NPI Number | 1992598189
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Entity Type | Organization
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Legal Business Name | CLINICA URGENT CARE INC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 8634 S PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60652-3633
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 8634 S PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60652-3633
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | STEVE ELMOSA
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Credential | MD
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Telephone | 708-699-7573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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