# LAKE COUNTY IMMEDIATE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKE COUNTY IMMEDIATE CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508633074
- **Legal business name:** LAKE COUNTY IMMEDIATE CARE, LLC
- **Authorized official:** JOHN V JURICA (MEDICAL DIRECTOR)
- **Authorized official phone:** (815) 263-3486

## Contact information

- **Practice address:** 1849 GREEN BAY RD STE 171, HIGHLAND PARK, IL 60035-3152
- **Practice address phone:** (847) 901-8400
- **Practice address fax:** (847) 901-8410
- **Mailing address:** 1849 GREEN BAY RD STE 171, HIGHLAND PARK, IL 60035-3152
- **Mailing address phone:** (847) 901-8400
- **Mailing address fax:** (847) 901-8410

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 12/05/2023