| Organization Name: | SOUTH LOOP URGENT CARE, LLC |
| NPI Number: | 1003084112 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONARD LEVITES (MANAGER) |
| Mailing Address: | 1430 S Michigan Ave C2 Chicago |
| State: | IL US |
| Postal Code: | 606052960 |
| Phone Number: | 3126633522 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2008 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 036108576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |