Active NPI
Promed Preferred Il 4 PLLC
- Urgent Care Clinic/Center
- Chicago, IL
National Provider Identifier
1174459937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PROMED PREFERRED IL 4 PLLC
- Practice address
- 1449 W Irving Park Rd
Chicago, IL 60613-1922 - Phone
- (872) 315-3375
- Fax
- (855) 654-6385
- NPI assigned
- Jun 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lauren Duane Buckingham, PA-C
- Title
- Manager
- Phone
- (616) 325-5039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1449 W Irving Park Rd
Chicago, IL 60613-1922
Mailing address
1449 W Irving Park Rd
Chicago, IL 60613-1922
Phone (872) 315-3375
Other names 1
- Paladin Urgent Care Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2333564 | Promed Preferred Il 4 PLLC | Certificate of waiver | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1174459937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131922",
"telephone_number": "872-315-3375",
"fax_number": "855-654-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131922",
"telephone_number": "872-315-3375",
"fax_number": "855-654-6385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMED PREFERRED IL 4 PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-19",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "BUCKINGHAM",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "DUANE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "616-325-5039",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paladin Urgent Care Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.