# NORTHWEST MEDICAL AND URGENT CARE CENTER AT YALE AND 95TH LTD

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

## Provider details

- **NPI number:** 1457864407
- **Authorized official:** DR. MOHAMMAD KHAMIS MD (PRESIDENT)
- **Authorized official phone:** (773) 468-2110

## Contact information

- **Practice address:** 237 W 95TH ST, CHICAGO, IL 60628-1321
- **Practice address phone:** (773) 468-2110
- **Practice address fax:** (773) 468-2109
- **Mailing address:** 5352 N LINCOLN AVE, CHICAGO, IL 60625-2316
- **Mailing address phone:** (773) 353-5047
- **Mailing address fax:** (773) 353-2406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 10/24/2018