Provider Demographics
NPI:1346524170
Name:ACE IMMEDIATE CARE
Entity Type:Organization
Organization Name:ACE IMMEDIATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:MUGHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-856-0747
Mailing Address - Street 1:8737 DRAKE AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2311
Mailing Address - Country:US
Mailing Address - Phone:773-856-0747
Mailing Address - Fax:773-856-0490
Practice Address - Street 1:7136 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-2408
Practice Address - Country:US
Practice Address - Phone:773-856-0747
Practice Address - Fax:773-856-0490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center