Organization Active NPI

Express Medical LLC

  • Adult Health Nurse Practitioner
  • Frankfort, IL
National Provider Identifier
1144185885
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
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

Updated by the provider on Aug 31, 2026

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)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
277000638OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260409002612 IL Part B Supplier - Clinic/Group Practice 6204301948 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Shorewood, IL; La Grange, IL; Frankfort, IL

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in Frankfort, IL

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.

Verify at the official NPI Registry.