CARECENTRICS URGENT CARE LLC NPI 1750984019

NPI Information

NPI: 1750984019
Provider Name: CARECENTRICS URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 14D2262517

Address:
1600 DEMPSTER ST STE 103
PARK RIDGE, IL
ZIP 60068
Phone: (224) 888-3033
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CARECENTRICS URGENT CARE LLC is an urgent care clinic center in Park Ridge, IL. CARECENTRICS URGENT CARE LLC NPI is 1750984019. The provider is registered as an organization entity type.

The provider's business location address is:

1600 DEMPSTER ST STE 103
PARK RIDGE, IL
ZIP 60068-171
Phone: (224) 888-3033

The provider's authorized official is Yevgeny Bulbin .
The authorized official title is Ceo and has the following contact phone number (847) 845-6465.

The CLIA number assigned to this NPI record is 14D2262517 - other - urgent care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 7/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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