| Entity Name: | AVICENNA PRIMARY CARE, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 16 Mar 2018 |
| Company Number: | LLC_06808891 |
| File Number: | 06808891 |
| Type of Management: | Manager Managed |
| Date Status Change: | 08 Mar 2024 |
| Address | 233 CIMARRON ROAD WEST, LOMBARD, 60148, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JAMES KARRAS, 1010 JORIE BLVD STE 100, OAK BROOK, 60523 | Agent | 2018-03-16 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| YASMIN I. KAGZI, MD, 233 CIMARRON ROAD WEST, LOMBARD, IL, 60148 | Manager | 2018-03-16 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248002206 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2018-04-24 | 2021-10-29 | 2025-01-01 |
Date of last update: 23 Dec 2024
