Active NPI
Mercy Care Health Systems LLC
- Urgent Care Clinic/Center
- Montgomery, IL
National Provider Identifier
1245487172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Joliet, IL
- NPI 1730135955
-
- Family Medicine Physician
- Plainfield, IL
- NPI 1265673701
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.