NPIMap

Organization Active NPI

Westlake Urgent NFP

  • Internal Medicine Physician
  • Melrose Park, IL
National Provider Identifier
1205621158
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WESTLAKE URGENT NFP
Practice address
1419 W Lake St
Melrose Park, IL 60160-3930
Phone
(708) 690-1911
Fax
(708) 397-4613
NPI assigned
Apr 11, 2025
Organization subpart
Yes
Parent organization
WESTLAKE URGENT CARE NFPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Shellye Pechulis
Title
Ceo
Phone
(708) 690-1911

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X

Addresses

Primary practice location

1419 W Lake St
Melrose Park, IL 60160-3930

Mailing address

1419 W Lake St
Melrose Park, IL 60160-3930
Phone (708) 690-1911

National Provider Directory

National Provider Directory
Tax ID family
Westlake Urgent Care NFP2 organizations share this tax ID, including this one
Part of
Westlake Urgent Care NFP

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1205621158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603930",
            "telephone_number": "708-690-1911",
            "fax_number": "708-397-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603930",
            "telephone_number": "708-690-1911",
            "fax_number": "708-397-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE URGENT NFP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTLAKE URGENT CARE NFP",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "PECHULIS",
        "authorized_official_first_name": "SHELLYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-690-1911"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.