Lake County Immediate Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LAKE COUNTY IMMEDIATE CARE, LLC

Practice address

1849 Green Bay Rd Ste 171
Highland Park, IL 60035-3152

Phone

(847) 901-8400

Fax

(847) 901-8410

NPI assigned

Dec 5, 2023

Organization subpart

Yes

Parent organization

LAKE COUNTY IMMEDIATE CARE, LLCAs reported in NPPES

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

Authorized official

Name

John V JuricaNPI 1669556593

Title

Medical Director

Phone

(815) 263-3486

Specialties & licenses 1

Addresses

Part of

Lake County Immediate Care LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lake County Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Waukegan, IL
  • NPI 1285048975
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John V Jurica, M.D.

  • Family Medicine Physician
  • Kankakee, IL
  • NPI 1669556593
  NPD (past) Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1508633074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 GREEN BAY RD STE 171",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353152",
            "telephone_number": "847-901-8400",
            "fax_number": "847-901-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 GREEN BAY RD STE 171",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353152",
            "telephone_number": "847-901-8400",
            "fax_number": "847-901-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY IMMEDIATE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE COUNTY IMMEDIATE CARE, LLC",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "JURICA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-263-3486"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ila P Kurani, MD
• Craig Van Nort Labbate, MD
• Meredith Roberts Lacaillade, APN - RN
• Laccura LLC
• William L Laegeler, RPH
• Lake Shore Foot & Ankle, PC
• Lake Shore Gastroenterology
• Lakeshore Transit LLC
• Monique Lambert, APN-CNP
• Dominika Landau-Lee

• All providers in Highland Park, IL
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.