Active NPI
Express Medical LLC
- Adult Health Nurse Practitioner
- Frankfort, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- EXPRESS MEDICAL LLC
- Practice address
- 11 S White St Ste 104
Frankfort, IL 60423-4018 - Phone
- (877) 363-3772
- Fax
- (762) 722-8386
- NPI assigned
- Dec 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney B Cantrell
- Title
- Credentialing Specialist
- Phone
- (423) 413-3832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
11 S White St Ste 104
Frankfort, IL 60423-4018
Mailing address
11 S White St Ste 104
Frankfort, IL 60423-4018
Phone (877) 363-3772
Other practice location 1
3 N Main St
Manteno, IL 60950-1534
Phone (877) 363-3772
Other practice location 2
3314 W 111th St
Chicago, IL 60655-2747
Phone (877) 363-3772
Other practice location 3
320 W Burlington Ave
LA Grange, IL 60525-2363
Phone (877) 363-3772
Other practice location 4
707 W Jefferson St Ste M
Shorewood, IL 60404-7380
Phone (877) 363-3772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277000638 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3314 W 111th St
Chicago, IL 60655
Phone (877) 363-3772
11 S White St
Ste 104
Frankfort, IL 60423
Phone (877) 363-3772
707 W Jefferson St
Ste M
Shorewood, IL 60404
Phone (815) 744-1365
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Frankfort, IL
- NPI 1215240981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1144185885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S WHITE ST STE 104",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604234018",
"telephone_number": "877-363-3772",
"fax_number": "762-722-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 S WHITE ST STE 104",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604234018",
"telephone_number": "877-363-3772",
"fax_number": "762-722-8386"
}
],
"practiceLocations": [
{
"address_1": "3 N Main St",
"address_purpose": "LOCATION",
"city": "Manteno",
"state": "IL",
"postal_code": "609501534",
"country_code": "US",
"telephone_number": "877-363-3772",
"fax_number": "708-722-8386",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3314 W 111th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606552747",
"country_code": "US",
"telephone_number": "877-363-3772",
"fax_number": "708-722-8386",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 W Burlington Ave",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "IL",
"postal_code": "605252363",
"country_code": "US",
"telephone_number": "877-363-3772",
"fax_number": "708-722-8386",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 W Jefferson St Ste M",
"address_purpose": "LOCATION",
"city": "Shorewood",
"state": "IL",
"postal_code": "604047380",
"country_code": "US",
"telephone_number": "877-363-3772",
"fax_number": "708-722-8386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EXPRESS MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "CANTRELL",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "423-413-3832"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "277000638",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.