Organization
PHYSICIANS IMMEDIATE CARE LTD
Active
Other names
Physicians Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY BUZZARD MD (MD/OWNER)
(815) 713-2738
Entity
Organization
Contact information
Practice address
1000 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4736
(815) 633-4300
(815) 633-2961
Mailing address
10100 FOREST HILLS RD, MACHESNEY PARK, IL 61115-8234
(815) 713-2738
(815) 986-4217
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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