Elitecare Express LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ELITECARE EXPRESS LLC

Practice address

6740 Dempster St
Morton Grove, IL 60053-2609

Phone

(224) 628-3643

NPI assigned

Oct 3, 2020

Organization subpart

No

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

Authorized official

Name

Rodion Levin, FNP-C

Title

Coo

Phone

(224) 628-3643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601683200000",
    "number": "1013514090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532609",
            "telephone_number": "224-628-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532609",
            "telephone_number": "224-628-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITECARE EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "RODION",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "224-628-3643",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ebert, M.A. CCC-SLP
• Hillary Cohen Ecker, MD
• Annette Egel, PT
• Amy Eisenberg
• Ban Elia, FNP-C
• Garo Emerzian, DPM
• Ryan Matthew Emry
• Adriana Daniela Ene
• Bom Mi Eom
• Ermin Arriola MD LLC

• Urgent Care Clinic/Center in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.