# EXPRESS MEDICAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Medical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801102215
- **Authorized official:** KEVIN M. HAZLETT (MANAGING PARTNER)
- **Authorized official phone:** (618) 236-6000

## Contact information

- **Practice address:** 5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
- **Practice address phone:** (618) 212-6800
- **Practice address fax:** (618) 212-6820
- **Mailing address:** 5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
- **Mailing address phone:** (618) 212-6800
- **Mailing address fax:** (618) 212-6820

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 07/12/2011