Organization Active NPI

D and a Immediate Care LLC

  • Urgent Care Clinic/Center
  • Morton Grove, IL
National Provider Identifier
1184478539
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
D AND A IMMEDIATE CARE LLC
Practice address
7919 Golf Rd
Morton Grove, IL 60053-1040
Phone
(224) 203-5574
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Samih Barcham
Title
Owner/Provider
Phone
(224) 616-9420

Specialties & licenses 1

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

Addresses

Primary practice location

7919 Golf Rd
Morton Grove, IL 60053-1040

Mailing address

7919 Golf Rd
Morton Grove, IL 60053-1040

National Provider Directory

National Provider Directory

Locations

7919 Golf Rd
Ste 100
Morton Grove, IL 60053
Phone (224) 203-5574

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1184478539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 GOLF RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 GOLF RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531040",
            "telephone_number": "224-203-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D AND A IMMEDIATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "BARCHAM",
        "authorized_official_first_name": "SAMIH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "224-616-9420"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.