OrganizationActive
Northwest Medical and Urgent Care Center at South Shore LLC
NPI 1235625138 · Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1235625138
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tamara Petrov, Office Manager(773) 353-5047
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1952 E 73rd St
Chicago, IL 60649-2902
Phone: (773) 493-5600
Street-level locationGet directions
Mailing address
5352 N Lincoln Ave
Chicago, IL 60625-2316
Registry dates
- Enumerated
- 2018-07-03
- Last updated
- 2018-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.