Active NPI
Precision Immediate Care and Medical Center, LLC
- Multi-Specialty Clinic/Center
- Stone Park, IL
National Provider Identifier
1689299257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PRECISION IMMEDIATE CARE AND MEDICAL CENTER, LLC
- Practice address
- 3520 W North Ave
Stone Park, IL 60165-1042 - Phone
- (708) 356-6341
- NPI assigned
- Jun 10, 2020
- 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
- Kalid Adab, MD
- Title
- Partner
- Phone
- (708) 356-6341
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
3520 W North Ave
Stone Park, IL 60165-1042
Mailing address
3520 W North Ave
Stone Park, IL 60165-1042
Other practice location 1
206 S Neltnor Blvd
West Chicago, IL 60185-2847
Phone (630) 206-8024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200805001647 | IL | Part B Supplier - Clinic/Group Practice | 5991120198 |
Receives reassigned benefits from 6 practitioners Practice locations: Stone Park, IL |
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 |
|---|---|---|---|
| 14D2212025 | Precision Immediate Care & Medical Center | Certificate of waiver | Feb 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1689299257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 W NORTH AVE",
"city": "STONE PARK",
"state": "IL",
"postal_code": "601651042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 W NORTH AVE",
"city": "STONE PARK",
"state": "IL",
"postal_code": "601651042",
"telephone_number": "708-356-6341"
}
],
"practiceLocations": [
{
"address_1": "206 S Neltnor Blvd",
"address_purpose": "LOCATION",
"city": "West Chicago",
"state": "IL",
"postal_code": "601852847",
"country_code": "US",
"telephone_number": "630-206-8024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRECISION IMMEDIATE CARE AND MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2023-12-07",
"certification_date": "2020-12-10",
"status": "A",
"authorized_official_last_name": "ADAB",
"authorized_official_first_name": "KALID",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "708-356-6341",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.