PRINCETON PROMPT CARE LLC (NPI# 1477848521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477848521 |
Entity Type | Organization |
Organization Name | PRINCETON PROMPT CARE LLC |
Practice Address |
2128 North Main Street Princeton IL 61356 |
Practice Telephone | 8158752273 |
Practice Fax Number | 8156643490 |
Mailing Telephone | 8158752273 |
Mailing Fax Number | 8156643490 |
Enumeration Date | 2011-06-16 |
Last Update Date | 2012-02-06 |
Authorized Official Name | DR. PAUL HERMAN BONUCCI (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8158752273 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
036100221 | IL | Ambulatory Health Care Facilities |
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
248.000409 | IL | Ambulatory Health Care Facilities |
Street Address |
2128 NORTH MAIN STREET |
City | PRINCETON |
State | IL |
Zip Code | 61356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
1447362629 | Paul Thomas Castelein | Dentist | 129 North Main Street, Princeton, IL 61356 | 2006-08-31 |
Find all providers in zip 61356 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063964971 | Rosa Lee Langley | Clinic/Center | 1023 W Main St, Princeton, KY 42445-1253 | 2016-10-26 |
1326408204 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 2128 N Main St, Princeton, IL 61356-9728 | 2016-03-04 |
1285975383 | Med Express Princeton | Clinic/Center | 277 Greasy Ridge Road, Princeton, WV 24740 | 2013-03-14 |
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1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
1699397729 | Urgent Medical Care LLC | Clinic/Center | 980 Plainfield Rd, Willowbrook, IL 60527-1705 | 2020-05-12 |
1134749294 | Daniel Joseph Izewski | Clinic/Center | 3908 Elm St, Downers Grove, IL 60515-2119 | 2020-04-19 |
1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
1417518432 | Midwest Express Care 2, Inc | Clinic/Center | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2019-06-21 |
1457818536 | Wellnow Urgent Care, P.C. | Clinic/Center | 13448 Cicero Avenue, Crestwood, IL 60418-1430 | 2019-02-26 |
1215407812 | Illinois Urgent Care Professionals Pllc | Clinic/Center | 17960 Halsted St, Homewood, IL 60430-2014 | 2018-11-27 |
1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
1487134961 | Express Urgent Care LLC | Clinic/Center | 10604 Southwest Hwy, Suite 109, Chicago Ridge, IL 60415-2717 | 2018-08-15 |
Find all providers with the same taxonomy |
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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.