Organization Active NPI

Physicians Immediate Care LTD

Doing business as Physicians Immediate Care

  • Emergency Medicine Physician
  • Loves Park, IL
National Provider Identifier
1538499140
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0976947Physicians Immediate Care1000 E Riverside Blvd, Loves Park, IL 61111Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.