Organization
BOLINGBROOK URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEHA KHAN M.D. (MEDICAL DIRECTOR)
(630) 430-3892
Entity
Organization
Contact information
Practice address
148 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
(630) 430-3892
Mailing address
148 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
(630) 430-3892
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084178
—
IL
Enumeration date
01/24/2012
Last updated
01/24/2012
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