# ICARUSMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASAP Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427859206
- **Authorized official:** DR. JOHN NICHOLAS MOUSTOUKAS MD (DR)
- **Authorized official phone:** (504) 669-1233

## Contact information

- **Practice address:** 2 NORTHFIELD PLZ STE 350, NORTHFIELD, IL 60093-1210
- **Practice address phone:** (504) 669-1233
- **Mailing address:** 898 ASH ST, WINNETKA, IL 60093-2436
- **Mailing address phone:** (504) 669-1233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/19/2025
- **Last updated:** 08/01/2025