# NORTHWEST SUBURBAN URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Suburban Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215156450
- **Authorized official:** DR. ROBERT MCMILLER M.D. (RADIOLOGIST)
- **Authorized official phone:** (847) 356-9016

## Contact information

- **Practice address:** 201 S. MILUAKEE AVE., LAKE VILLA, IL 60046
- **Practice address phone:** (847) 356-9016
- **Mailing address:** 201 S. MILUAKEE AVE., LAKE VILLA, IL 60046
- **Mailing address phone:** (847) 356-9016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | IL-01417-01 | IL | — |
| 247100000X | Radiologic Technologist | IL-01417-01 | IL | — |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | IL-01417-01 | IL | Yes |
| 2471V0105X | Vascular Sonography Radiologic Technologist | IL-01417-01 | IL | — |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 06/21/2018