Organization Active NPI

Elite Med Urgent Care LLC

  • Urgent Care Clinic/Center
  • Hickory Hills, IL
National Provider Identifier
1194594648
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ELITE MED URGENT CARE LLC
Practice address
9634 S Roberts Rd
Hickory Hills, IL 60457-2238
Phone
(708) 741-7944
Fax
(708) 741-7941
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Abdelkhaliq Qasem, MDNPI 1639707532
Title
Owner
Phone
(708) 380-8008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9634 S Roberts Rd
Hickory Hills, IL 60457-2238

Mailing address

9634 S Roberts Rd
Hickory Hills, IL 60457-2238
Phone (708) 380-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240323000363 IL Part B Supplier - Clinic/Group Practice 4688011885 Receives reassigned benefits from 5 practitioners
Practice locations: Hickory Hills, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2302590Elite Med Urgent Care9634 S Roberts Rd, Hickory Hills, IL 60457Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1194594648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9634 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572238",
            "telephone_number": "708-380-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572238",
            "telephone_number": "708-741-7944",
            "fax_number": "708-741-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MED URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "QASEM",
        "authorized_official_first_name": "ABDELKHALIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-380-8008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.