FAMILYDOC URGENT CARE LLC
NPI 1245880715
Clinic/Center - Urgent Care in Chicago, IL

Active since September 17, 2019CLIA 14D2176794 · Microscopy
7201 S STONY ISLAND AVE, CHICAGO, IL 60649(773) 940-1612(630) 559-7349 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Familydoc Urgent Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILYDOC URGENT CARE LLC (NPI 1245880715) is a healthcare organization registered as an urgent care in Chicago, Illinois and active in the NPI registry since September 2019. The organization holds a CLIA Microscopy certificate valid through December 23, 2027 and lists Adebayo Bademosi, Owner, as its authorized official.

NPPES Registry Identity

NPI1245880715
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameFAMILYDOC URGENT CARE LLC
Location Address7201 S STONY ISLAND AVEChicago, IL 60649
Mailing Address7201 S Stony Island AveChicago, IL 60649 · (773) 940-1612 · Fax (630) 559-7349
Fax(630) 559-7349
Organization SubpartNo
Authorized OfficialAdebayo BademosiOwner · (773) 940-1612
Enumeration DateSeptember 17, 2019
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1245880715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
7201 S STONY ISLAND AVE, Chicago, IL 60649

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Familydoc Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Familydoc Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1922975622
7201 S STONY ISLAND AVE
Chicago, IL 60649
(773) 639-1335
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1962279489
2535 S KING DR
Chicago, IL 60616
(312) 674-5972
✔ PECOS5.9 mi
Nurse Practitioner
NPI 1225501356
31 SIBLEY ST STE A
Hammond, IN 46320
(219) 802-8800
✔ PECOS10 mi
Nurse Practitioner
NPI 1780271247
345 MADISON ST
Oak Park, IL 60302
(931) 998-3097
✔ PECOS✔ Accepts Medicare13 mi
Emergency Medicine
NPI 1346357076
7905 CALUMET AVE
Munster, IN 46321
(219) 836-5800
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1780303735
2211 N OAK PARK AVE
Chicago, IL 60707
(773) 622-5400
✔ PECOS15 mi
Nurse Practitioner
NPI 1871002675
11641 SUNDANCE TRL
Mokena, IL 60448
(708) 715-2035
✔ PECOS24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2176794

Familydoc Urgent Care, LLC · Chicago, IL
Active · expires Dec 23, 2027
CLIA Number14D2176794
Laboratory TypeUrgent Care Facility
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorAdebayo Bademosi
Laboratory Phone(773) 940-1612
Laboratory LocationFamilydoc Urgent Care, LLC7201 S Stony Island Ave, Chicago, IL 60649
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Familydoc Urgent Care LLC's NPI number?

The NPI number for Familydoc Urgent Care LLC is 1245880715. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Familydoc Urgent Care LLC located?

Familydoc Urgent Care LLC is located at 7201 S Stony Island Ave, Chicago, IL 60649. The listed phone number is (773) 940-1612.

What is Familydoc Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Familydoc Urgent Care LLC enrolled in Medicare?

Yes. Familydoc Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Familydoc Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Familydoc Urgent Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Certified Clinical Nurse Specialist (CNS) (1) and Emergency Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Familydoc Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2176794) is associated with this NPI, valid through December 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Familydoc Urgent Care LLC was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.