MEDICARE: WELLNOW URGENT CARE, P.C.

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1457818536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNOW URGENT CARE, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 500
Second Line	:
City	:	ELLICOTTVILLE
State	:	NY
Zip	:	14731-0500
Country	:	US
Telephone Number	:	716-699-9032
Fax Number	:	716-699-9035

Provider Business Practice Location Address
First Line	:	13448 CICERO AVENUE
Second Line	:
City	:	CRESTWOOD
State	:	IL
Zip	:	60418-1430
Country	:	US
Telephone Number	:	708-682-3384
Fax Number	:	718-682-3385

Authorized Official
Title or Position	:	MANAGER PAYER RELATIONS
Name	:	TRACY MARIE SCIOLINO
Credential	:
Telephone Number	:	716-699-9032

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	01/13/2020

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