ILLINOIS URGENT CARE PROFESSIONALS PLLC (NPI# 1215407812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215407812 |
| Entity Type | Organization |
| Organization Name | ILLINOIS URGENT CARE PROFESSIONALS PLLC |
| Other Organization Name | ON DMED URGENT CARE |
| Practice Address |
17960 Halsted St Homewood IL 60430-2014 |
| Practice Telephone | 8479339200 |
| Mailing Telephone | 8479339200 |
| Mailing Fax Number | 7734397715 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | DR. NOORUN KHAN (OWNER) |
| Authorized Official Telephone | 8479339200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| On Dmed Urgent Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10834b S Doty Ave, Chicago, IL 606283802 | 8727608911 | 8727608902 |
| Street Address |
17960 HALSTED ST |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168326 | Jaclyn Mariev Mcpheeters | Nurse Practitioner | 17960 Halsted St, Homewood, IL 60430-2014 | 2020-09-08 |
| 1669036331 | Corinne Sadecki-lund | Nurse Practitioner | 17960 Halsted St, Homewood, IL 60430-2014 | 2019-04-27 |
| 1659837367 | Martel S Warden | Registered Nurse | 17960 Halsted St, Homewood, IL 60430-2014 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346605821 | St. Vincent's Urgent Care LLC | Clinic/Center | 1944 28th Ave S, Homewood, AL 35209 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514090 | Elitecare Express LLC | Clinic/Center | 6740 Dempster St, Morton Grove, IL 60053-2609 | 2020-10-03 |
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1699397729 | Urgent Medical Care LLC | Clinic/Center | 980 Plainfield Rd, Willowbrook, IL 60527-1705 | 2020-05-12 |
| 1134749294 | Daniel Joseph Izewski | Clinic/Center | 3908 Elm St, Downers Grove, IL 60515-2119 | 2020-04-19 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1417518432 | Midwest Express Care 2, Inc | Clinic/Center | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2019-06-21 |
| 1457818536 | Wellnow Urgent Care, P.C. | Clinic/Center | 13448 Cicero Avenue, Crestwood, IL 60418-1430 | 2019-02-26 |
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1487134961 | Express Urgent Care LLC | Clinic/Center | 10604 Southwest Hwy, Suite 109, Chicago Ridge, IL 60415-2717 | 2018-08-15 |
| 1053890517 | Midwest Express Care 2 Inc | Clinic/Center | 2070 N State Route 50, Ste 500, Bourbonnais, IL 60914-6091 | 2018-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.