# MOHANA URGENT CARE LTD

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

## Provider details

- **NPI number:** 1811261290
- **Authorized official:** BHARGAVI NETTEM MD (PRESIDENT)
- **Authorized official phone:** (773) 680-8786

## Contact information

- **Practice address:** 3641 E 108TH ST, STE B, CHICAGO, IL 60617-6951
- **Practice address phone:** (773) 731-5466
- **Practice address fax:** (773) 731-5461
- **Mailing address:** 3641 E 108TH ST STE B, CHICAGO, IL 60617-6952
- **Mailing address phone:** (773) 731-5466
- **Mailing address fax:** (773) 731-5461

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/11/2013