Organization
URGENT CARE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOLLY P MACWAN NURSE PRACTITIONER (OWNER/EMPLOYEE)
(847) 881-7863
Entity
Organization
Contact information
Practice address
1815 AUTUMN DR APT 310, HOFFMAN ESTATES, IL 60169-1180
(847) 323-4491
Mailing address
1815 AUTUMN DR APT 310, HOFFMAN ESTATES, IL 60169-1180
(847) 323-4491
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/09/2025
Last updated
08/17/2025
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