Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Logan Square Urgent Care Center Corporation

Organization Surgery Physician · NPI 1366840415

Logan Square Urgent Care Center Corporation provides Surgery Physician services 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 Not confirmed with CMS for 11 years — call before visiting
Phone: (773) 772-8876
Fax: (773) 252-3091
Show map & directions

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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