Organization
PREFERRED URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA KHAMOO (ADMINISTRATOR)
(773) 309-6740
Entity
Organization
Contact information
Practice address
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(773) 309-6740
(773) 237-6606
Mailing address
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(773) 309-6740
(773) 237-6606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
12/14/2018
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