Provider Demographics
NPI:1518143429
Name:ACCURE FAMILY MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:ACCURE FAMILY MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAQSOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-873-9367
Mailing Address - Street 1:7421 SOUTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:WORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60482-2607
Mailing Address - Country:US
Mailing Address - Phone:847-873-9367
Mailing Address - Fax:224-246-8127
Practice Address - Street 1:7421 SOUTHWEST HWY
Practice Address - Street 2:
Practice Address - City:WORTH
Practice Address - State:IL
Practice Address - Zip Code:60482-2607
Practice Address - Country:US
Practice Address - Phone:847-873-9367
Practice Address - Fax:224-246-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036099382261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0002233673OtherBLUE CROSS BLUE SHIELD
IL217023OtherMEDICARE
IL036099382Medicaid
ILG87347Medicare UPIN