360 Immediate Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

360 IMMEDIATE CARE LLC

Practice address

70 E Busse Ave
Mount Prospect, IL 60056-3215

Phone

(847) 749-4408

NPI assigned

Apr 19, 2022

Last updated

Apr 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gule Talha

Title

President

Phone

(847) 749-4408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Umar Bhatti, DO

  • Internal Medicine Physician
  • Dyer, IN
  • NPI 1558802751

  IL

  Medicare reassignment NPD
• Adla Martina Adubofour, NP

  • Family Nurse Practitioner
  • Mount Prospect, IL
  • NPI 1790476695
  NPD
• Marlena Monika Marchev

  • Family Nurse Practitioner
  • Mount Prospect, IL
  • NPI 1982418836
  NPD
• Hiral Patel, APRN

  • Family Nurse Practitioner
  • Mount Prospect, IL
  • NPI 1720799885
  NPD
• Erin Anthony

  • Family Nurse Practitioner
  • Mount Prospect, IL
  • NPI 1538088380
  NPD (past)

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1245973064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E BUSSE AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E BUSSE AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563215",
            "telephone_number": "847-749-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 IMMEDIATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "TALHA",
        "authorized_official_first_name": "GULE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-749-4408"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A Homecare Service LLC
• Zahraa Abbas
• Jenna Nicole Abi-Mansour
• Saul Ian Abraham, O.D.

• Urgent Care Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.