CONCENTRA IMMEDIATE CARE
NPI 1780025478
Clinic/Center - Urgent Care in Elk Grove Village, IL

NPI Status: Active since July 10, 2013

Contact Information

1830 JARVIS AVE
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 952-1180
Fax: (847) 952-1183

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 14D1026490
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-06-2026

About CONCENTRA IMMEDIATE CARE

This page provides the complete NPI Profile along with additional information for Concentra Immediate Care, a provider established in Elk Grove Village, Illinois operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1780025478 assigned on July 2013. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Concentra Immediate Care. The authorized official of this NPI record is Dr. Raad Yaldo Do (President And Treasurer)

NPI
1780025478
Provider Legal Name
AMERICAN CURRENT CARE OF ILLINOIS PC
Other Organization Name
CONCENTRA IMMEDIATE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1830 JARVIS AVE ELK GROVE VILLAGE, IL 60007
Location Phone
(847) 952-1180
Location Fax
(847) 952-1183
Mailing Address
5080 SPECTRUM DR SUITE 1200 WEST ADDISON, TX 75001
Mailing Phone
(972) 720-7772
Mailing Fax
(847) 952-1183
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2013
Last Update Date
01-13-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RAAD YALDO DO

Authorized Official Title
PRESIDENT AND TREASURER
Authorized Official Phone
(972) 364-8000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1026490
Facility Type
Physician Office
Certificate Effective Date
June 07, 2024
Certificate Expiration Date
June 06, 2026
Laboratory Director
WILLIAM WEAVER DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Concentra Immediate Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780025478
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271600210414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 0 + 2 + 1 + 0 + 4 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1780025478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700997319MR. JASON MARKWORTH PT
Individual
Physical Therapist (Orthopedic)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(847) 952-1180
1114044476 KIMBERLY A DETTLOFF M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(615) 778-4066
1629195011 EDUARDO M ISRAEL M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(615) 778-4066
1679690887 WILLIAM D WEAVER D.O.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(615) 778-4066
1467579656 MELANIO B SEBAYAN M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(615) 778-4066
1386085686OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Organization
Clinic/Center (Multi-Specialty)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(847) 952-1180
1558640755OCCUSPECIALISTS PC
Organization
Clinic/Center (Health Service)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(947) 952-1180
1902247232US MEDGROUP OF ILLINOIS PC
Organization
Clinic/Center (Health Service)1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(847) 952-1180
1598882839 FATEMA T AZHAR O.T.
Individual
Occupational Therapist1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(615) 778-4066
1912024902 DANIEL A DUDEK PT
Individual
Physical Therapist1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
(847) 364-9906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780025478, enumerated in the NPI registry as an "organization" on July 10, 2013

The provider is located at 1830 Jarvis Ave Elk Grove Village, Il 60007 and the phone number is (847) 952-1180

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 14D1026490 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 10, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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