Bollingbrook Urgent Care S.C

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

036084178 Issued in IL

Legal business name

BOLLINGBROOK URGENT CARE S.C

Doing business as

Bolingbrook Immediate Care

Practice address

148 S Bolingbrook Dr
Bolingbrook, IL 60440-2852

Phone

(630) 914-5373

Fax

(630) 410-8528

NPI assigned

May 30, 2012

Last updated

May 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Saleha Khan, M.DNPI 1831100569

Title

President

Phone

(630) 430-3892

Specialties & licenses 1

Addresses

Other names 1

• Bolingbrook Immediate Care Doing business as

Locations

Practitioners 1

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.

• Saleha Khan, M.D.

  • Family Medicine Physician
  • Burr Ridge, IL
  • NPI 1831100569
  Authorized official Same address or phone

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1821359464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402852",
            "telephone_number": "630-914-5373",
            "fax_number": "630-410-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402852",
            "telephone_number": "630-914-5373",
            "fax_number": "630-410-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLLINGBROOK URGENT CARE S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SALEHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-430-3892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "036084178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolingbrook Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bolingbrook Taxi and Limousine Co
• Bolingbrook Urgent Care LLC
• Bolingbrook Vision Source Inc.
• Bolingbrook Wellness
• Bolingbrook Womens Clinic S C
• Angela Marie Bolokowicz, CCC-SLP
• Angela Yolanda Bond, MD
• Christopher Boniquit, M.D.
• Boughton Family Practice PC
• Megan Elizabeth Bowers, ATC

• Urgent Care Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.