# MELROSE PARK IMMEDIATE CARE

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

## Provider details

- **NPI number:** 1962838771
- **Authorized official:** TABISH A KHAN (PRESIDENT)
- **Authorized official phone:** (630) 802-4654

## Contact information

- **Practice address:** 106 N 19TH AVE, MELROSE PARK, IL 60160-3755
- **Practice address phone:** (708) 615-0738
- **Mailing address:** 2309 BILTER RD, AURORA, IL 60502-8714
- **Mailing address phone:** (630) 802-4654

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 09/25/2013