| Preferred Urgent Care LLC | |
|
4849 W Fullerton Ave Chicago IL 60639-2503 | |
| (773) 309-6740 | |
| (773) 237-6606 |
| Full Name | Preferred Urgent Care LLC |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 4849 W Fullerton Ave, Chicago, Illinois |
| Authorized Official Name and Position | Tania Khamoo (ADMINISTRATOR) |
| Authorized Official Contact | 7733096740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Urgent Care LLC 4849 W Fullerton Ave Chicago IL 60639-2503 Ph: (773) 309-6740 | Preferred Urgent Care LLC 4849 W Fullerton Ave Chicago IL 60639-2503 Ph: (773) 309-6740 |
| NPI Number | 1881181055 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 12/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881181055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208D00000X | General Practice | (NU) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (NU) | Primary |
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