| NPI | 1649589466 |
|---|---|
| Doing Business As | SOUTHEAST URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | THERESA FOSTER Credentialing Specialist 815-713-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2011-08-29 |