Melrose Park Immediate Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MELROSE PARK IMMEDIATE CARE

Practice address

106 N 19TH Ave
Melrose Park, IL 60160-3755

Phone

(708) 615-0738

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Tabish A Khan

Title

President

Phone

(630) 802-4654

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Ali, MD

  • Internal Medicine Physician
  • Willowbrook, IL
  • NPI 1508898362
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1962838771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 BILTER RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028714",
            "telephone_number": "630-802-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603755",
            "telephone_number": "708-615-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE PARK IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TABISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-802-4654"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melrose Dental Center Service P.C
• Melrose Medical Supply Company, LLC
• Melrose Park Clinic
• Melrose Park Clinic LTD.
• Melrose Park Eye Care LLC
• Melrose Park Rehabilitation, LTD
• Melrose Park Women'S Care, S.C.
• Melrose Pharmacy Inc
• Deja Merritte, BA
• Joseph E. Merryweather, PA-C

• Urgent Care Clinic/Center in Melrose Park, IL
• Providers in Melrose Park, 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 Sep 25, 2013; 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.