Provider Demographics
NPI:1619716073
Name:AM URGENT CARE LTD
Entity type:Organization
Organization Name:AM URGENT CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:K
Authorized Official - Last Name:MAINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-454-9921
Mailing Address - Street 1:1201 W. 1ST STREET
Mailing Address - Street 2:
Mailing Address - City:ROCK FALLS
Mailing Address - State:IL
Mailing Address - Zip Code:61071-0000
Mailing Address - Country:US
Mailing Address - Phone:773-454-9921
Mailing Address - Fax:
Practice Address - Street 1:1201 W. 1ST STREET
Practice Address - Street 2:
Practice Address - City:ROCK FALLS
Practice Address - State:IL
Practice Address - Zip Code:61071-0000
Practice Address - Country:US
Practice Address - Phone:773-454-9921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty