South Loop Primary and Urgent Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTH LOOP PRIMARY AND URGENT CARE, LLC

Doing business as

South Loop Primary and Urgent Care, LLC

Practice address

1430 S Michigan Ave Unit C2
Chicago, IL 60605-2960

Phone

(312) 730-8796

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH LOOP URGENT CARE, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Iftikhar Khan, MDNPI 1679510986

Title

Manager

Phone

(312) 663-3522

Specialties & licenses 1

Addresses

Other names 1

• South Loop Primary and Urgent Care, LLC Doing business as

Tax ID family

South Loop Urgent Care LLC2 organizations share this tax ID, including this one

Part of

South Loop Urgent Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Loop Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1003084112
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Loop Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1003084112
  NPPES parent name

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.

• Iftikhar Khan, MD

  • Emergency Medicine Physician
  • Woodstock, IL
  • NPI 1679510986
  NPD Authorized official

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1871172825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S MICHIGAN AVE UNIT C2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052960",
            "telephone_number": "312-730-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S MICHIGAN AVE UNIT C2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052960",
            "telephone_number": "312-730-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOOP PRIMARY AND URGENT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH LOOP URGENT CARE, LLC",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-663-3522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Loop Primary and Urgent Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• South Loop Pediatric Therapy LLC
• South Loop Pediatrics, LLC
• South Loop Skilled Nursing Facility LLC (Warren Barr South Loop)
• South Loop Urgent Care, LLC
• South Michigan Ave Investments LLC (Home Helpers 58363)
• South Pulaski Surgical, LTD
• South Shore Cardiology Group Inc

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.