Provider Demographics
NPI:1073057873
Name:FAMILY URGENT CARE INC
Entity Type:Organization
Organization Name:FAMILY URGENT CARE INC
Other - Org Name:FAMILY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FOUZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMEDKARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-852-5345
Mailing Address - Street 1:535 FAIRWAY DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3938
Mailing Address - Country:US
Mailing Address - Phone:773-852-5345
Mailing Address - Fax:630-397-4204
Practice Address - Street 1:535 FAIRWAY DR
Practice Address - Street 2:SUITE 107
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3938
Practice Address - Country:US
Practice Address - Phone:773-852-5345
Practice Address - Fax:630-397-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126023261Q00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No305S00000XManaged Care OrganizationsPoint of Service