LAKE COUNTY IMMEDIATE CARE, LLC – NPI #1508633074
Clinic/Center

LAKE COUNTY IMMEDIATE CARE, LLC is an AHC clinic located in HIGHLAND PARK, IL. NPPES has assigned the NPI number 1508633074 to LAKE COUNTY IMMEDIATE CARE, LLC on December 05, 2023. 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

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 LAKE COUNTY IMMEDIATE CARE, LLC below.

NPI Profile for
LAKE COUNTY IMMEDIATE CARE, LLC

NPI Number
1508633074
Enumeration Date

(more than 2 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
LAKE COUNTY IMMEDIATE CARE, LLC
Primary location
1849 GREEN BAY RD STE 171
HIGHLAND PARK, IL 60035-3152
Phone: (847) 901-8400 Fax: (847) 901-8410
Mailing address
Same as primary location
Organization Subpart
Yes - LAKE COUNTY IMMEDIATE CARE, LLC is subpart of another organization.
Authorized Official
JOHN JURICA
MEDICAL DIRECTOR
Phone: (815) 263-3486
Updated
Certification Date
Dec 05, 2023

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.