BOLINGBROOK IMMEDIATE CARE
NPI 1821359464
Clinic/Center - Urgent Care in Bolingbrook, IL
NPI Status: Active since May 30, 2012
Contact Information
148 S BOLINGBROOK DR
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 914-5373
Fax: (630) 410-8528
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 14D2046138
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-07-2025
About BOLINGBROOK IMMEDIATE CARE
This page provides the complete NPI Profile along with additional information for Bolingbrook Immediate Care, a provider established in Bolingbrook, Illinois operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1821359464 assigned on May 2012. The practitioner's primary taxonomy code is 261QU0200X with license number 036084178 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Bolingbrook Immediate Care. The authorized official of this NPI record is Dr. Saleha Khan M.d (President)
- NPI
- 1821359464
- Provider Legal Name
- BOLLINGBROOK URGENT CARE S.C
- Other Organization Name
- BOLINGBROOK IMMEDIATE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440
- Location Phone
- (630) 914-5373
- Location Fax
- (630) 410-8528
- Mailing Address
- 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440
- Mailing Phone
- (630) 914-5373
- Mailing Fax
- (630) 410-8528
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2012
- Last Update Date
- 05-30-2012
- Code Navigator
Location Map
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
- License No.
- 036084178
- License State
- IL
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
- 14D2046138
- Facility Type
- Physician Office
- Certificate Effective Date
- December 08, 2023
- Certificate Expiration Date
- December 07, 2025
- Laboratory Director
- SYED KHAN MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bolingbrook 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. | |||||||||
| 1 | 8 | 2 | 1 | 3 | 5 | 9 | 4 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 6 | 5 | 18 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 6 + 5 + 1 + 8 + 4 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1821359464 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659642510 | BOLINGBROOK URGENT CARE LLC Organization | Clinic/Center (Urgent Care) | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (630) 430-3892 |
| 1871193698 | PIONEER MEDICAL GROUP LTD Organization | Clinic/Center (Urgent Care) | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (630) 914-5373 |
| 1033889761 | LINDSAY ELIZABETH CRAWFORD FNP Individual | Family Medicine | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (537) 391-4630 |
| 1386305514 | PIONEER MEDICAL GROUP LTD Organization | Clinical Medical Laboratory | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (630) 914-5373 |
| 1447960604 | MICHELLE TREVINO FNP-BC Individual | Nurse Practitioner (Family) | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (630) 914-5373 |
| 1447680558 | TAMARA M POOLE APN, FNP-BC Individual | Nurse Practitioner (Family) | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (630) 914-5373 |
| 1588918130 | MRS. KELLY ANN GERMAN APN Individual | Nurse Practitioner (Family) | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (630) 914-5373 |
| 1891198628 | EVELYN UKPOLO PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 148 S BOLINGBROOK DR BOLINGBROOK, IL 60440 (630) 914-5373 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821359464, enumerated in the NPI registry as an "organization" on May 30, 2012
The provider is located at 148 S Bolingbrook Dr Bolingbrook, Il 60440 and the phone number is (630) 914-5373
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 14D2046138 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 May 30, 2012. 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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