Active NPI
Preferred Urgent Care LLC
- Urgent Care Clinic/Center
- Chicago, IL
National Provider Identifier
1881181055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PREFERRED URGENT CARE LLC
- Practice address
- 4849 W Fullerton Ave
Chicago, IL 60639-2503 - Phone
- (773) 309-6740
- Fax
- (773) 237-6606
- NPI assigned
- Apr 13, 2018
- Last updated
- Dec 14, 2018
- 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
- Tania Khamoo
- Title
- Administrator
- Phone
- (773) 309-6740
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
4849 W Fullerton Ave
Chicago, IL 60639-2503
Mailing address
4849 W Fullerton Ave
Chicago, IL 60639-2503
Phone (773) 309-6740
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 |
|---|---|---|---|
| 14D2146857 | Preferred Urgent Care L L C | Certificate of waiver | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544745600000",
"number": "1881181055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606392503",
"telephone_number": "773-309-6740",
"fax_number": "773-237-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606392503",
"telephone_number": "773-309-6740",
"fax_number": "773-237-6606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-13",
"last_updated": "2018-12-14",
"status": "A",
"authorized_official_last_name": "KHAMOO",
"authorized_official_first_name": "TANIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-309-6740"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Preferred Podiatry Group PC
- Preferred Podiatry Group PC
- Preferred Podiatry Group PC
- Preferred Podiatry Group PC
- Preferred Podiatry Group PC
- Pregnant Or Not Healthcare, LTD. (Pregnancy & Gynecology Care)
- Barbara A. Preib
- Stefan Preisendorfer, MD, PHD
- Christine R Preissler, PT
- Michael J Prejean, APRN, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.