Organization
ILLINOIS PRIMARY URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL WAHID ROYEEN MD (OWNER)
(309) 337-0736
Entity
Organization
Contact information
Practice address
1201 E BROADWAY STE B, MONMOUTH, IL 61462-1995
(309) 337-0736
Mailing address
2026 62ND ST, MONMOUTH, IL 61462-9054
(309) 337-0736
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036127590
IL
261QU0200X
Urgent Care Clinic/Center
036127590
IL
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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