Organization Active NPI

Elmhurst Emergency Medical Services

  • Urgent Care Clinic/Center
  • Lombard, IL
National Provider Identifier
1093966467
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ELMHURST EMERGENCY MEDICAL SERVICES
Practice address
130 S Main St
Lombard, IL 60148-2670
Phone
(630) 652-1700
NPI assigned
Oct 3, 2008
Organization subpart
Yes
Parent organization
ELMHURST MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mr. James Doyle
Title
Cfo Senior Vice President
Phone
(630) 833-1400

Specialties & licenses 1

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

Addresses

Primary practice location

130 S Main St
Lombard, IL 60148-2670

Mailing address

130 S Main St
Lombard, IL 60148-2670
Phone (630) 652-1700

Other identifiers 1

IdentifierTypeStateIssuer
0221559013OtherBCBS

National Provider Directory

National Provider Directory
Part of
E Pritchett Crna

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1093966467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "630-652-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "630-652-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELMHURST MEMORIAL HOSPITAL",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "630-833-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0221559013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.