Active NPI
Immediate M.D., LLC
- Urgent Care Clinic/Center
- Chicago, IL
National Provider Identifier
1811256043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2012
- 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
- Jeffrey Bohmer, M.D.
- Title
- Chairman
- Phone
- (312) 371-6521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.