Organization
MYCARE EXPRESS CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIBRAN NASEER MD (OWNER)
(309) 319-2393
Entity
Organization
Contact information
Practice address
1404 EASTLAND DR STE 103, BLOOMINGTON, IL 61701-7904
(309) 319-2393
Mailing address
1404 EASTLAND DR STE 103, BLOOMINGTON, IL 61701-7904
(309) 319-2393
(309) 585-2607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
08/22/2022
Last updated
03/25/2025
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