Provider Demographics
NPI:1770815110
Name:DOCTORS IMMEDIATE CARE
Entity Type:Organization
Organization Name:DOCTORS IMMEDIATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAIZUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAREEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD,DO
Authorized Official - Phone:630-236-0900
Mailing Address - Street 1:1301 S ROUTE 59
Mailing Address - Street 2:107
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9400
Mailing Address - Country:US
Mailing Address - Phone:630-236-0900
Mailing Address - Fax:630-236-0910
Practice Address - Street 1:1301 S ROUTE 59
Practice Address - Street 2:107
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9400
Practice Address - Country:US
Practice Address - Phone:630-236-0900
Practice Address - Fax:630-236-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036121541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty