Excellent Med Associates Incorporated

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EXCELLENT MED ASSOCIATES INCORPORATED

Practice address

14489 John Humphrey Dr Ste 1-NA
Orland Park, IL 60462-2671

Phone

(708) 364-1205

Fax

(708) 364-1265

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Ahsin Shamsi, MD

Title

Owner

Phone

(708) 906-1679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1023700994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR STE 1-NA",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622671",
            "telephone_number": "708-364-1205",
            "fax_number": "708-364-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR STE 1-NA",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622671",
            "telephone_number": "708-364-1205",
            "fax_number": "708-364-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT MED ASSOCIATES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "AHSIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-906-1679",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Orland Park, IL
• Providers in Orland Park, 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 May 22, 2023; 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.