Organization
ICARE URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHTME ABDALLAH (AUTHOROIZED OFFICIAL)
(313) 623-3975
Entity
Organization
Contact information
Practice address
23850 VAN BORN RD STE B, DEARBORN HEIGHTS, MI 48125-2325
(313) 278-7750
Mailing address
32320 MICHIGAN AVE, WAYNE, MI 48184-1423
(313) 578-1911
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
01/20/2022
Last updated
04/12/2023
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