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Organization
ICARUSMD PLLC
Active
Organization
ICARUSMD PLLC
Active
Other names
ASAP Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NICHOLAS MOUSTOUKAS MD (DR)
(504) 669-1233
Entity
Organization
Contact information
Practice address
2 NORTHFIELD PLZ STE 350, NORTHFIELD, IL 60093-1210
(504) 669-1233
Mailing address
898 ASH ST, WINNETKA, IL 60093-2436
(504) 669-1233
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
03/19/2025
Last updated
08/01/2025
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