HOMETOWN URGENT CARE OF MICHIGAN, P.C. (NPI# 1790030385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790030385 |
| Entity Type | Organization |
| Organization Name | HOMETOWN URGENT CARE OF MICHIGAN, P.C. |
| Other Organization Name | HOMETOWN URGENT CARE |
| Practice Address |
7483 Solutions Ctr Chicago IL 60677-7004 |
| Mailing Address |
2400 Corporate Exchange Dr Suite 102 Columbus OH 43231-7605 |
| Practice Telephone | 6145057633 |
| Practice Fax Number | 6148471106 |
| Mailing Telephone | 6145057633 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | MR. MANOJ KUMAR (CEO) |
| Authorized Official Telephone | 6145057602 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1790030385 | 05 |
| Other Name | Type Code |
|---|---|
| HOMETOWN URGENT CARE | Doing Business As Name - Organization |
| Street Address |
7483 SOLUTIONS CTR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60677-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
| 1619019627 | Allied Ear Nose Throat Institute Inc | Otolaryngology | 1467 Solutions Center, Chicago, IL 60677-1004 | 2007-02-13 |
| 1598863474 | Carrie A Balzer | Specialist/Technologist | 1858 Solutions Ctr, Chicago, IL 60677-1008 | 2006-09-21 |
| 1760894554 | Immediate Pain Care of Evanston, LLC | Nurse Practitioner | 7986 Solutions Ctr, Chicago, IL 60677-1016 | 2014-05-28 |
| 1427294768 | Neocare of The Quad Cities | Specialist | 2066 Solutions Ctr, Chicago, IL 60677-2000 | 2008-12-16 |
| 1396142105 | Jill Mccabe | Home Health | 3969 Solutions Ctr, Chicago, IL 60677-3009 | 2014-11-21 |
| 1861441537 | University Medical Diagnostic Associates, Inc. | Allergy & Immunology | 7301 Solutions Ctr, Lockbox 777301, Chicago, IL 60677-7003 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| Find all providers in CHICAGO | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1215302971 | Medspring of Texas, Pa | Clinic/Center | 779 Adams, Chicago, IL 60661-0000 | 2015-12-07 |
| 1255722120 | Medspring of Texas, Pa | Clinic/Center | 3301 N Ashland Ave, Chicago, IL 60657-2127 | 2015-02-12 |
| 1942690672 | Northwestern Memorial Healthcare | Clinic/Center | 1030 N Wolcott Ave, Chicago, IL 60622-5986 | 2015-02-03 |
| 1376941849 | Medspring of Texas, Pa | Clinic/Center | 219 W Chicago Ave, Chicago, IL 60654-5600 | 2014-12-15 |
| 1811256043 | Immediate M.d., LLC | Clinic/Center | 2037 N Clybourn Ave, Chicago, IL 60614-4003 | 2012-05-08 |
| 1003084112 | South Loop Urgent Care, LLC | Clinic/Center | 1430 S Michigan Ave, C2, Chicago, IL 60605-2960 | 2008-02-12 |
| 1316136955 | American Current Care of Illinois PC | Clinic/Center | 1230 West Lake Street, Chicago, IL 60607-1602 | 2007-10-19 |
| 1285823856 | American Current Care Pa | Clinic/Center | 4201 West 36th Street, Chicago, IL 60632-3800 | 2007-10-19 |
| Find all providers in CHICAGO | ||||
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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.