Active NPI
Urgent Medical Center SC
- Urgent Care Clinic/Center
- Chicago, IL
National Provider Identifier
1578960282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- URGENT MEDICAL CENTER SC
- Practice address
- 2004 N Pulaski Rd
Chicago, IL 60639-3767 - Phone
- (773) 772-8876
- Fax
- (773) 252-3091
- NPI assigned
- Nov 24, 2014
- 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. Javed Nazir, M.D.
- Title
- Physician
- Phone
- (773) 772-8876
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036049702 | IL | |
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2004 N Pulaski Rd
Chicago, IL 60639-3767
Mailing address
2004 N Pulaski Rd
Chicago, IL 60639-3767
Phone (773) 772-8876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036049702 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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 |
|---|---|---|---|
| 14D2151703 | Urgent Medical Center S C | Certificate of waiver | Jul 24, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Chicago, IL
- NPI 1003935644
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1790773992
-
- Psychiatric/Mental Health Nurse Practitioner
- Glenview, IL
- NPI 1891587358
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1942052626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638230400000",
"number": "1578960282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 N PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606393767",
"telephone_number": "773-772-8876",
"fax_number": "773-252-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 N PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606393767",
"telephone_number": "773-772-8876",
"fax_number": "773-252-3091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT MEDICAL CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-24",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A",
"authorized_official_last_name": "NAZIR",
"authorized_official_first_name": "JAVED",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "773-772-8876",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036049702",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036049702",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.