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Organization
RIDGELAND IMMEDIATE CARE
Active
Organization
RIDGELAND IMMEDIATE CARE
Active
Other names
CHICAGO RIDGE IMMEDIATE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MOQUEET A SYED (ACCESS MANAGER)
(630) 827-2500
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE STE 6, CHICAGO RIDGE, IL 60415-2668
(630) 440-7786
(630) 242-8450
Mailing address
9830 RIDGELAND AVE STE 6, CHICAGO RIDGE, IL 60415-2668
(630) 440-7786
(630) 242-8450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/30/2022
Last updated
11/21/2022
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