FAMILYDOC URGENT CARE LLC (NPI# 1245880715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245880715 |
| Entity Type | Organization |
| Organization Name | FAMILYDOC URGENT CARE LLC |
| Practice Address |
7201 S Stony Island Ave Chicago IL 60649 |
| Practice Telephone | 7739401612 |
| Practice Fax Number | 6305597349 |
| Mailing Telephone | 7739401612 |
| Mailing Fax Number | 6305597349 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | DR. ADEBAYO BADEMOSI (OWNER) |
| Authorized Official Telephone | 7739401612 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
7201 S STONY ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| 1740430404 | Nneka Camara Thompson | Specialist | 7223 South Euclid Avenue, Chicago, IL 60649 | 2008-09-30 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1215302971 | Medspring of Texas, Pa | Clinic/Center | 779 Adams, Chicago, IL 60661-0000 | 2015-12-07 |
| 1255722120 | Medspring of Texas, Pa | Clinic/Center | 3301 N Ashland Ave, Chicago, IL 60657-2127 | 2015-02-12 |
| 1942690672 | Northwestern Memorial Healthcare | Clinic/Center | 1030 N Wolcott Ave, Chicago, IL 60622-5986 | 2015-02-03 |
| 1376941849 | Medspring of Texas, Pa | Clinic/Center | 219 W Chicago Ave, Chicago, IL 60654-5600 | 2014-12-15 |
| 1790030385 | Hometown Urgent Care of Michigan, P.C. | Clinic/Center | 7483 Solutions Ctr, Chicago, IL 60677-7004 | 2012-07-19 |
| 1811256043 | Immediate M.d., LLC | Clinic/Center | 2037 N Clybourn Ave, Chicago, IL 60614-4003 | 2012-05-08 |
| 1003084112 | South Loop Urgent Care, LLC | Clinic/Center | 1430 S Michigan Ave, C2, Chicago, IL 60605-2960 | 2008-02-12 |
| 1316136955 | American Current Care of Illinois PC | Clinic/Center | 1230 West Lake Street, Chicago, IL 60607-1602 | 2007-10-19 |
| 1285823856 | American Current Care Pa | Clinic/Center | 4201 West 36th Street, Chicago, IL 60632-3800 | 2007-10-19 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.