MEDICARE: CAL DEVON URGENT CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	001	IL

General Provider Information

NPI Number	:	1104940618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAL DEVON URGENT CARE INC

Provider Business Mailing Address
First Line	:	6208 OAKTON ST
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-2721
Country	:	US
Telephone Number	:	773-262-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6208 OAKTON ST
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-2721
Country	:	US
Telephone Number	:	773-262-5400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIRZA BAIG
Credential	:
Telephone Number	:	773-262-5400

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	04/29/2026

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