# INNOVATIVE EXPRESS CARE, SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Express Care, SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104237114
- **Authorized official:** DR. RAHUL KUMAR KHARE M.D. (PRESIDENT)
- **Authorized official phone:** (773) 270-5600

## Contact information

- **Practice address:** 2400 N ASHLAND AVE, CHICAGO, IL 60614-2021
- **Practice address phone:** (312) 622-1062
- **Mailing address:** 2800 N SEMINARY AVE, CHICAGO, IL 60657-4392
- **Mailing address phone:** (312) 622-1062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 042620280 | IL | Yes |

## Other

- **Enumeration date:** 05/13/2014
- **Last updated:** 12/06/2022