FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC
NPI 1740304757
Clinic/Center - Occupational Medicine in Chicago, IL

Q: What is Fullerton Occupational Medicine & Immediate Care Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Active since March 16, 2007

3409 W FULLERTON AVE, CHICAGO, IL 60647(773) 486-5001 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fullerton Occupational Medicine & Immediate Care Sc NPPES

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

FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC (NPI 1740304757) is a healthcare organization registered as an occupational medicine in Chicago, Illinois and active in the NPI registry since March 2007. The organization lists Renlin Xia, President, as its authorized official.

NPPES Registry Identity

NPI1740304757

Entity TypeOrganization

Primary Taxonomy261QX0100X

Legal Business NameFULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC

Location Address3409 W FULLERTON AVEChicago, IL 60647-2415

Mailing Address3409 W Fullerton AveChicago, IL 60647-2415 · (773) 486-5001

Phone(773) 486-5001

Organization SubpartNo

Authorized OfficialRenlin XiaPresident · (773) 486-5001

Enumeration DateMarch 16, 2007

Last NPPES UpdateApril 13, 2010

✔ NPI 1740304757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities

Taxonomy Code261QX0100X

License✔ Licensed in IL · 364061160

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 364061160 (IL)

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 364061160 (IL)

3409 W FULLERTON AVE, Chicago, IL 60647

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Other Identifiers 3

Other01635426IL · Other

Medicaid036088691 4IL

Medicare UPING21025IL

Other Providers at the Same Location NPPES

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

MS. VALERIA L. WILLIAMS NP

Nurse Practitioner (Adult Health)

3409 W FULLERTON AVE
CHICAGO, IL 60647

Cook County (773) 486-5001

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 Fullerton Occupational Medicine & Immediate Care Sc's NPI number?

The NPI number for Fullerton Occupational Medicine & Immediate Care Sc is 1740304757. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Fullerton Occupational Medicine & Immediate Care Sc located?

Fullerton Occupational Medicine & Immediate Care Sc is located at 3409 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 486-5001.

What is Fullerton Occupational Medicine & Immediate Care Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Fullerton Occupational Medicine & Immediate Care Sc was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.