| Organization Name: | NORTHWEST SUBURBAN URGENT CARE |
| NPI Number: | 1215156450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT MCMILLER (RADIOLOGIST) |
| Mailing Address: | 201 S. Miluakee Ave. Lake Villa |
| State: | IL US |
| Postal Code: | 60046 |
| Phone Number: | 8473569016 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 09/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 242T00000X |
| License Number: | IL-01417-01 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Perfusionist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |