FAMILYDOC URGENT CARE LLC – NPI #1245880715
Clinic/Center

FAMILYDOC URGENT CARE LLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1245880715 to FAMILYDOC URGENT CARE LLC on September 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Jun 01, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILYDOC URGENT CARE LLC below.

NPI Profile for
FAMILYDOC URGENT CARE LLC

NPI Number
1245880715
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILYDOC URGENT CARE LLC
Primary location
7201 S STONY ISLAND AVE
CHICAGO, IL 60649
Phone: (773) 940-1612 Fax: (630) 559-7349
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ADEBAYO BADEMOSI
OWNER
Phone: (773) 940-1612
Updated
Certification Date
Jun 01, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.