# ADVANCED IMMEDIATE CARE AND DIAGNOSTIC CENTER LLC

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

## Provider details

- **NPI number:** 1821432881
- **Authorized official:** MRS. RANIA SALEM (MANAGER)
- **Authorized official phone:** (815) 730-3300

## Contact information

- **Practice address:** 1600 PLAINFIELD RD, JOLIET, IL 60435-1902
- **Practice address phone:** (815) 730-3300
- **Practice address fax:** (815) 729-3399
- **Mailing address:** 1603 WOODLAND LN, BOLINGBROOK, IL 60490-3274

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2013
- **Last updated:** 04/22/2013