Active NPI
Southwest Urgent Care LTD
- Family Medicine Physician
- Evergreen Park, IL
National Provider Identifier
1750746681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTHWEST URGENT CARE LTD
- Practice address
- 2955 W 95TH St
Evergreen Park, IL 60805-2409 - Phone
- (708) 200-6615
- Fax
- (708) 598-3304
- NPI assigned
- Dec 18, 2015
- Last updated
- Dec 18, 2015
- 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
- Hanan Yousif
- Title
- President
- Phone
- (708) 200-6615
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
2955 W 95TH St
Evergreen Park, IL 60805-2409
Mailing address
8790 W 103Rd St
Palos Hills, IL 60465-1603
Phone (708) 200-6615
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 |
|---|---|---|---|
| 14D2110020 | Southwest Urgent Care LTD | Certificate of waiver | Mar 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
7460 Duvan Dr
Tinley Park, IL 60477
Phone (708) 649-0333
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1558477661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450396800000",
"number": "1750746681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8790 W 103RD ST",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651603",
"telephone_number": "708-200-6615",
"fax_number": "708-598-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052409",
"telephone_number": "708-200-6615",
"fax_number": "708-598-3304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST URGENT CARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-18",
"last_updated": "2015-12-18",
"status": "A",
"authorized_official_last_name": "YOUSIF",
"authorized_official_first_name": "HANAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-200-6615"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.