Active NPI
Physicians Immediate Care LTD
Doing business as Physicians Immediate Care
- Emergency Medicine Physician
- Loves Park, IL
National Provider Identifier
1538499140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PHYSICIANS IMMEDIATE CARE LTD
- Doing business as
- Physicians Immediate Care
- Practice address
- 1000 E Riverside Blvd
Loves Park, IL 61111-4736 - Phone
- (815) 633-4300
- Fax
- (815) 633-2961
- NPI assigned
- Jan 4, 2010
- Last updated
- Jan 4, 2010
- 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
- Dr. Terry Buzzard, MD
- Title
- MD/Owner
- Phone
- (815) 713-2738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Primary |
Addresses
Primary practice location
1000 E Riverside Blvd
Loves Park, IL 61111-4736
Mailing address
10100 Forest Hills Rd
Machesney Park, IL 61115-8234
Phone (815) 713-2738
Other names 1
- Physicians Immediate Care
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 |
|---|---|---|---|
| 14D0976947 | Physicians Immediate Care | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
1000 E Riverside Blvd
Loves Park, IL 61111
Phone (815) 633-4300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1538499140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 FOREST HILLS RD",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611158234",
"telephone_number": "815-713-2738",
"fax_number": "815-986-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E RIVERSIDE BLVD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611114736",
"telephone_number": "815-633-4300",
"fax_number": "815-633-2961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS IMMEDIATE CARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-04",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "BUZZARD",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "815-713-2738",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Physicians Immediate Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.