Bolingbrook Urgent Care Llc

LBN: Bolingbrook Urgent Care Llc
Bolingbrook Urgent Care Llc is an health care organization with primary practice located at 148 S Bolingbrook Dr , Bolingbrook IL 60440-2852. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Bolingbrook Urgent Care Llc can be contacted via phone (630) 430-3892, or through Khan, Saleha via phone (630) 430-3892.

Contact Information

Primary practice address
148 S Bolingbrook Dr Bolingbrook IL 60440-2852
Phone: (630) 430-3892
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khan, Saleha Doctor of Medicine (MD)
Phone: (630) 430-3892

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1659642510
LBN Legal business name Bolingbrook Urgent Care Llc
DBA Doing business as
Authorized official Khan, Saleha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2012
Last updated Jan 24th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659642510 NPPES
Illinois MEDICAID 036084178

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