Urgiclinic Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGICLINIC URGENT CARE PLLC

Practice address

7124 W 83Rd St Unit C
Bridgeview, IL 60455-4034

Phone

(708) 788-5088

Fax

(708) 575-7177

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Wael Tinawi, OWNER

Title

Ceo

Phone

(708) 314-0307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Ratnesh Kumar, MBBS,MD

  • Pediatrics Physician
  • Hoffman Estates, IL
  • NPI 1952544918
  Medicare reassignment Care Compare group NPD
• Yesenia Sianez

  • Family Nurse Practitioner
  • Bridgeview, IL
  • NPI 1326631292
  Medicare reassignment Care Compare group NPD
• Hanna Vintonyak, NP-C

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1043886062
  Medicare reassignment Care Compare group NPD
• Julia Gordon, APRN-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1396296299
  Medicare reassignment NPD
• Mohammad Khader

  • Family Nurse Practitioner
  • Bridgeview, IL
  • NPI 1093437105
  Medicare reassignment NPD
• Abdelkhaliq Isam Qasem, MD

  • Internal Medicine Physician
  • Hickory Hills, IL
  • NPI 1639707532
  Medicare reassignment NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1982301685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST UNIT C",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST UNIT C",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034",
            "telephone_number": "708-788-5088",
            "fax_number": "708-575-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGICLINIC URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "TINAWI",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-314-0307",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syreeta M Crter, Licsw, LCSW, LLC
• John F Torphy, DDS
• Shamari Truss
• U.S. Home Physicians, S.C.
• United Providers Inc
• US Medgroup of Illinois PC
• Village of Bridgeview
• Jasmine Vindel, M.H.S.
• Vital Home Medical Supply LLC
• Janette Donna Waksmanski, PTA

• Urgent Care Clinic/Center in Bridgeview, IL
• Providers in Bridgeview, 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 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.