Organization
PHYSICIAN URGENT CARE OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASER RUSTOM MD (PRESIDENT)
(773) 237-3500
Entity
Organization
Contact information
Practice address
1554 TODD FARM DR, ELGIN, IL 60123-1287
(847) 888-7423
(847) 841-7285
Mailing address
4941 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 309-6714
(773) 309-6298
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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