Organization Active NPI

Immediate M.D., LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1811256043
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
IMMEDIATE M.D., LLC
Practice address
2037 N Clybourn Ave
Chicago, IL 60614-4003
Phone
(312) 371-6521
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Bohmer, M.D.
Title
Chairman
Phone
(312) 371-6521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

2037 N Clybourn Ave
Chicago, IL 60614-4003

Mailing address

105 S York St
Suite 230
Elmhurst, IL 60126-3455
Phone (312) 371-6521

National Provider Directory

National Provider Directory

Locations

105 S York St
Ste 230
Elmhurst, IL 60126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1811256043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S YORK ST",
            "address_2": "SUITE 230",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263455",
            "telephone_number": "312-371-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144003",
            "telephone_number": "312-371-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "BOHMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "312-371-6521",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.