Organization
ISLAND LAKE URGENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD EBIRIM MD (PRESIDENT)
(217) 433-4418
Entity
Organization
Contact information
Practice address
521 KORA LANE, ISLAND LAKE, IL 60042-8438
(847) 469-6971
(847) 469-6974
Mailing address
521 KORA LN, ISLAND LAKE, IL 60042-9101
(847) 469-6971
(847) 469-6974
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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