| Illinois Urgent Care Professionals Pllc | |
|
17960 Halsted St Homewood IL 60430-2014 | |
| (847) 933-9200 | |
| Not Available |
| Full Name | Illinois Urgent Care Professionals Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 17960 Halsted St, Homewood, Illinois |
| Authorized Official Name and Position | Noorun Khan (OWNER) |
| Authorized Official Contact | 8479339200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Urgent Care Professionals Pllc 7444 W Wilson Ave Ste 102 Harwood Heights IL 60706-4500 Ph: (708) 922-0911 | Illinois Urgent Care Professionals Pllc 17960 Halsted St Homewood IL 60430-2014 Ph: (847) 933-9200 |
| NPI Number | 1215407812 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 04/29/2025 |
| Medicare PECOS PAC ID | 9830437946 |
|---|---|
| Medicare Enrollment ID | O20190215001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215407812 | NPI | - | NPPES |
| Provider Name | Noorun M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548234073 PECOS PAC ID: 7012949308 Enrollment ID: I20050907001137 |
| Provider Name | Rosemary L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083807564 PECOS PAC ID: 5395831887 Enrollment ID: I20071015000133 |
| Provider Name | Johnnie Dominica Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043601057 PECOS PAC ID: 9133445125 Enrollment ID: I20150310002297 |
| Provider Name | Melissa A Rivette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235524711 PECOS PAC ID: 9739493768 Enrollment ID: I20150804004156 |
| Provider Name | Josalynn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730545955 PECOS PAC ID: 1153627740 Enrollment ID: I20160308001383 |
| Provider Name | Adesola O Babalola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346602265 PECOS PAC ID: 7719285550 Enrollment ID: I20160412002131 |
| Provider Name | Shenell E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316304637 PECOS PAC ID: 8921306119 Enrollment ID: I20160421001531 |
| Provider Name | Sharmaine Latasha Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992170393 PECOS PAC ID: 1658661632 Enrollment ID: I20160602002429 |
| Provider Name | Taletha K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689181372 PECOS PAC ID: 0749549665 Enrollment ID: I20180122001367 |
| Provider Name | Christina Lynn Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588139802 PECOS PAC ID: 4587903992 Enrollment ID: I20190301001626 |
| Provider Name | Corinne Sadecki-lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669036331 PECOS PAC ID: 9335482777 Enrollment ID: I20190528001548 |
| Provider Name | Martel S Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659837367 PECOS PAC ID: 1254661564 Enrollment ID: I20190930003232 |
| Provider Name | Crystal N Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316573835 PECOS PAC ID: 6103257860 Enrollment ID: I20200513000329 |
| Provider Name | Kathleen Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831703321 PECOS PAC ID: 2769801182 Enrollment ID: I20201002001910 |
| Provider Name | La Tonya Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710580618 PECOS PAC ID: 0244648293 Enrollment ID: I20210413000913 |
| Provider Name | Julie Elizabeth Di Novo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063008860 PECOS PAC ID: 5799185195 Enrollment ID: I20210607000753 |
| Provider Name | Kyle T Bergan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114490224 PECOS PAC ID: 6204262264 Enrollment ID: I20221102003359 |
| Provider Name | Geoffrey F River |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508440371 PECOS PAC ID: 3476925116 Enrollment ID: I20230207001233 |
| Provider Name | Kelly Ann Novotney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992404636 PECOS PAC ID: 7416314703 Enrollment ID: I20230531003476 |
| Provider Name | Michelle Marie Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457070880 PECOS PAC ID: 8022462795 Enrollment ID: I20230928002549 |
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