Provider Demographics
NPI: | 1023136173 |
---|---|
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: | DR |
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: | 815-285-2273 |
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: | 841 N GALENA AVE |
Practice Address - Street 2: | SUITE 200 |
Practice Address - City: | DIXON |
Practice Address - State: | IL |
Practice Address - Zip Code: | 61021-1568 |
Practice Address - Country: | US |
Practice Address - Phone: | 815-285-2273 |
Practice Address - Fax: | 815-285-2276 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-03-27 |
Last Update Date: | 2014-03-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IL | 215095 | Medicare PIN |