PALOS URGENT CARE PLLC
NPI 1639953342
Clinic/Center - Urgent Care in Palos Hills, IL

Active since August 23, 2023CLIA 14D2312419 · Waiver
10384 S HARLEM AVE, PALOS HILLS, IL 60465(732) 335-6515(732) 305-8026 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2023, Aug 23, 2023 (2 updates tracked since 2023).

About Palos Urgent Care Pllc NPPES

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

PALOS URGENT CARE PLLC (NPI 1639953342) is a healthcare organization registered as an urgent care in Palos Hills, Illinois and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Wail Asfour, Owner, as its authorized official.

NPPES Registry Identity

NPI1639953342
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePALOS URGENT CARE PLLC
Location Address10384 S HARLEM AVEPalos Hills, IL 60465
Mailing Address106 Forest Edge DrPalos Park, IL 60464-1948 · (732) 335-6515 · Fax (732) 305-8026
Fax(732) 305-8026
Organization SubpartNo
Authorized OfficialWail AsfourOwner · (732) 335-6515
Enumeration DateAugust 23, 2023
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
NPI 1639953342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
10384 S HARLEM AVE, Palos Hills, IL 60465

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 of Waiver 14D2312419

Palos Urgent Care PLLC · Palos Hills, IL
Active · expires Oct 9, 2026
CLIA Number14D2312419
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorWail Asfour
Laboratory Phone(708) 529-7109
Laboratory LocationPalos Urgent Care PLLC10384 S Harlem Ave, Palos Hills, IL 60465
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
10384 S HARLEM AVE
PALOS HILLS, IL 60465
Physical Therapist
10384 S HARLEM AVE
PALOS HILLS, IL 60465

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639953342, enumerated as an "organization" on August 23, 2023.

The provider is located at 10384 S HARLEM AVE PALOS HILLS, IL 60465 and the phone number is (732) 335-6515.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.