Provider Demographics
NPI:1386047397
Name:ULTIMATE MEDICAL CARE P.C.
Entity type:Organization
Organization Name:ULTIMATE MEDICAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELMOSA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-699-7573
Mailing Address - Street 1:121 FOREST EDGE DR
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1949
Mailing Address - Country:US
Mailing Address - Phone:708-699-7573
Mailing Address - Fax:
Practice Address - Street 1:5600 W 87TH ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:IL
Practice Address - Zip Code:60459-2902
Practice Address - Country:US
Practice Address - Phone:708-699-7573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-04
Last Update Date:2014-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.119432261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care