# INNOVATIVE EXPRESS CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013306463
- **Authorized official:** DR. RAHUL KUMAR KHARE M.D. (PRESIDENT)
- **Authorized official phone:** (773) 809-5816

## Contact information

- **Practice address:** 2400 N ASHLAND AVE, SUITE 100, CHICAGO, IL 60614-2021
- **Practice address phone:** (773) 270-5600
- **Mailing address:** 2400 N ASHLAND AVE, SUITE 100, CHICAGO, IL 60614-2021
- **Mailing address phone:** (773) 809-5816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036111153 | IL | Yes |

## Other

- **Enumeration date:** 01/22/2015
- **Last updated:** 07/20/2015