Provider Demographics
NPI:1568197945
Name:FIRSTCARE URGENT CARE CENTER P.C.
Entity Type:Organization
Organization Name:FIRSTCARE URGENT CARE CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEALS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-978-2601
Mailing Address - Street 1:1507 E 53RD ST # 317
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-4573
Mailing Address - Country:US
Mailing Address - Phone:312-978-2601
Mailing Address - Fax:
Practice Address - Street 1:7456 S STATE RD STE 104
Practice Address - Street 2:
Practice Address - City:BEDFORD PARK
Practice Address - State:IL
Practice Address - Zip Code:60638-6625
Practice Address - Country:US
Practice Address - Phone:708-265-2702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1992959076Medicaid