Provider Demographics
NPI:1457818536
Name:WELLNOW URGENT CARE, P.C.
Entity Type:Organization
Organization Name:WELLNOW URGENT CARE, P.C.
Other - Org Name:WELLNOW URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER PAYER RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCIOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-699-9032
Mailing Address - Street 1:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:ELLICOTTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14731-0500
Mailing Address - Country:US
Mailing Address - Phone:716-699-9032
Mailing Address - Fax:716-699-9035
Practice Address - Street 1:13448 CICERO AVENUE
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:IL
Practice Address - Zip Code:60418-1430
Practice Address - Country:US
Practice Address - Phone:708-682-3384
Practice Address - Fax:718-682-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care