Organization Active NPI

Urgent Care Medical Service Corporation

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1144516535
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
036091869 Issued in IL
Legal business name
URGENT CARE MEDICAL SERVICE CORPORATION
Practice address
2004 N Pulaski Rd
Chicago, IL 60639-3767
Phone
(773) 772-8876
Fax
(773) 252-3091
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vishnu Madireddy, M.D.
Title
Physician
Phone
(773) 772-8876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 036091869 IL Primary

Addresses

Primary practice location

2004 N Pulaski Rd
Chicago, IL 60639-3767

Mailing address

2004 N Pulaski Rd
Chicago, IL 60639-3767
Phone (773) 772-8876

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1144516535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-772-8876",
            "fax_number": "773-252-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-772-8876",
            "fax_number": "773-252-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE MEDICAL SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "MADIREDDY",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-772-8876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "036091869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.