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Organization
PHYSICIAN URGENT CARE OF ILLINOIS, INC.
Active
Organization
PHYSICIAN URGENT CARE OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASER RUSTOM MD (PRESIDENT)
(773) 237-3500
Entity
Organization
Contact information
Practice address
1554 TODD FARM DR, ELGIN, IL 60123-1287
(847) 888-7423
(847) 841-7285
Mailing address
4941 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 309-6714
(773) 309-6298
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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