Organization Active NPI

Midwest Express Care 2 Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1003385535
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MIDWEST EXPRESS CARE 2 INC
Practice address
3258 W 111TH St
Chicago, IL 60655-2729
Phone
(773) 629-8217
Fax
(773) 840-3182
NPI assigned
Nov 14, 2018
Organization subpart
Yes
Parent organization
MIDWEST EXPRESS CARE 2 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Milap Shah
Title
Owner
Phone
(219) 802-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3258 W 111TH St
Chicago, IL 60655-2729

Mailing address

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Other names 1

  • Midwest Express Clinics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2150535Midwest Express Care 2, Inc3258 W 111TH St, Chicago, IL 60655Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory
Part of
Midwest Express Care 2 Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1003385535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552729",
            "telephone_number": "773-629-8217",
            "fax_number": "773-840-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 2 INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EXPRESS CARE 2 INC",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MILAP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-802-8800"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Express Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.