Organization Active NPI

Mercy Care Health Systems LLC

  • Urgent Care Clinic/Center
  • Montgomery, IL
National Provider Identifier
1245487172
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MERCY CARE HEALTH SYSTEMS LLC
Practice address
1851 Douglas Rd
Montgomery, IL 60538-2159
Phone
(630) 844-9900
Fax
(630) 844-9990
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mohammad Shafi, MD
Title
Partner
Phone
(773) 744-7864

Specialties & licenses 1

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

Addresses

Primary practice location

1851 Douglas Rd
Montgomery, IL 60538-2159

Mailing address

1851 Douglas Rd
Montgomery, IL 60538-2159
Phone (630) 844-9900

Other names 1

  • KENDALL IMMEDIATE HEALTH CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1245487172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382159",
            "telephone_number": "630-844-9900",
            "fax_number": "630-844-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382159",
            "telephone_number": "630-844-9900",
            "fax_number": "630-844-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-744-7864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENDALL IMMEDIATE HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.