| Metro Urgent Care Inc | |
|
5406 W. Fullerton Ave Chicago IL 60639 | |
| (786) 301-4903 | |
| Not Available |
| Full Name | Metro Urgent Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5406 W. Fullerton Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jose Ayala (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7863014903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Urgent Care Inc 5406 W. Fullerton Ave Chicago IL 60639 Ph: (773) 466-7012 | Metro Urgent Care Inc 5406 W. Fullerton Ave Chicago IL 60639 Ph: (786) 301-4903 |
| NPI Number | 1548914450 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/13/2023 |
| Medicare PECOS PAC ID | 9830556620 |
|---|---|
| Medicare Enrollment ID | O20230609001935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548914450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Kacey L Dayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861650319 PECOS PAC ID: 0749341006 Enrollment ID: I20081204000544 |
| Provider Name | Monisola O Folami |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578789962 PECOS PAC ID: 3678648029 Enrollment ID: I20091112000347 |
| Provider Name | Jose a Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942457221 PECOS PAC ID: 6204017478 Enrollment ID: I20110221000900 |
| Provider Name | Anum Haq |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760998280 PECOS PAC ID: 1759644412 Enrollment ID: I20180410002032 |
| Provider Name | Arpit Devendra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740711050 PECOS PAC ID: 5799054466 Enrollment ID: I20201001003390 |
| Provider Name | Lysette Mcnerney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790562585 PECOS PAC ID: 2365886629 Enrollment ID: I20240215000624 |
| Provider Name | Sarai Alvarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114627601 PECOS PAC ID: 0345684015 Enrollment ID: I20240221002018 |
| Provider Name | Hailey Elizabeth Hodgson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821779778 PECOS PAC ID: 5597100198 Enrollment ID: I20240305000612 |
| Provider Name | Bridget Irene Corcoran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952179533 PECOS PAC ID: 7315383932 Enrollment ID: I20240306000759 |
| Provider Name | Sophia Paulitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396622908 PECOS PAC ID: 2567947344 Enrollment ID: I20260330002593 |
| Provider Name | Diana Mendoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003784869 PECOS PAC ID: 8224513007 Enrollment ID: I20260330002723 |
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