North Ave Immediate Care
Family Medicine in Addison, IL. Organization (NPI-2).
NPI number1982306742
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1982306742
- Entity type
- Organization (NPI-2)
- Legal business name
- North Ave Immediate Care
- Organization subpart
- No
- Enumeration date
- Mar 17, 2023
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
350 W North AveAddison, IL 60101-4911
Phone 773-744-7864
Mailing address
350 W North AveAddison, IL 60101-4911
Phone 773-744-7864
Authorized official
Mirza Baig
President
7737447864
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