Provider Demographics
NPI:1942582044
Name:NOW CARE LLC
Entity Type:Organization
Organization Name:NOW CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRUBB
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:815-539-3739
Mailing Address - Street 1:841 N GALENA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-1568
Mailing Address - Country:US
Mailing Address - Phone:815-285-2273
Mailing Address - Fax:815-285-2276
Practice Address - Street 1:1201 MERIDEN ST
Practice Address - Street 2:
Practice Address - City:MENDOTA
Practice Address - State:IL
Practice Address - Zip Code:61342-2501
Practice Address - Country:US
Practice Address - Phone:815-539-3739
Practice Address - Fax:815-539-3753
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOW CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL215095Medicare PIN