Provider Demographics
NPI:1265864383
Name:ALPESH CORPORATION
Entity Type:Organization
Organization Name:ALPESH CORPORATION
Other - Org Name:WAUKEGAN IMMEDIATE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-315-6194
Mailing Address - Street 1:1075 N GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-2244
Mailing Address - Country:US
Mailing Address - Phone:941-315-6194
Mailing Address - Fax:941-209-5322
Practice Address - Street 1:1075 N GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-2244
Practice Address - Country:US
Practice Address - Phone:941-315-6194
Practice Address - Fax:941-209-5322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1720287378OtherNPI