Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Square Urgent Care Center Corporation

Organization Surgery Physician · NPI 1366840415

Logan Square Urgent Care Center Corporation is a Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

2004 N Pulaski Rd
Chicago, IL 60639-3767
Phone: (773) 772-8876
Fax: (773) 252-3091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036070641 (IL)

Record details

NPI number1366840415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yongsoo Kwon — Physician · (773) 772-8876
NPI enumeratedDecember 5, 2014
Last updated in NPPESDecember 5, 2014
Mailing address2004 N Pulaski Rd, Chicago, IL 60639-3767

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