Innovative Express Care, SC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

042620280 Issued in IL

Legal business name

INNOVATIVE EXPRESS CARE, SC

Practice address

2400 N Ashland Ave
Chicago, IL 60614-2021

Phone

(312) 622-1062

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rahul Kumar Khare, M.D.

Title

President

Phone

(773) 270-5600

Specialties & licenses 1

Addresses

Other names 1

• Innovative Express Care, SC Doing business as

Locations

Practitioners 1

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

• Myah Elizabeth Anderson, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1497433320
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1104237114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SEMINARY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574392",
            "telephone_number": "312-622-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142021",
            "telephone_number": "312-622-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE EXPRESS CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "KHARE",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-270-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "042620280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Express Care, SC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Express Care, SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innovative Dental Group, LLC
• Innovative Dermatology
• Innovative Doctor Group LLP
• Innovative Endodontics, P.C.
• Innovative Express Care
• Innovative Health Management Inc
• Innovative IV Care, PLLC
• Innovative Medspa PLLC
• Innovative Pediatric Therapy, Inc.
• Innovative Pediatrics LLC

• All providers in Chicago, IL
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.