| NPI | 1871172825 |
|---|---|
| Doing Business As | SOUTH LOOP PRIMARY AND URGENT CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR KHAN Manager 312-663-3522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |