Innovative Express Care – Clinic/Center

Key facts

NPI: 1013306463
Entity type: Organization (NPI type 2)
Primary specialty: Clinic/Center 261Q00000X
License: 036111153 (IL)
Legal business name: INNOVATIVE EXPRESS CARE
Practice address: 2400 N Ashland Ave
Suite 100
Chicago, IL 60614-2021
Phone: (773) 270-5600
NPI assigned: Jan 22, 2015
Organization subpart: No

Authorized official

Name: Dr. Rahul Kumar Khare, M.D. NPI 1043248743
Title: President
Phone: (773) 809-5816

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Rahul Khare, MD Emergency Medicine Physician · Chicago, IL · NPI 1043248743

NPD (past) Authorized official
Myah Elizabeth Anderson, PA-C Physician Assistant · Chicago, IL · NPI 1497433320

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinic/Center	261Q00000X	036111153	IL	Yes

Addresses

Primary practice location

2400 N Ashland Ave
Suite 100
Chicago, IL 60614-2021

Mailing address

2400 N Ashland Ave
Suite 100
Chicago, IL 60614-2021
Phone (773) 809-5816

Other providers in Chicago, IL

All providers in Chicago, IL · Clinic/Center in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.