Covid Care of Illinois LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COVID CARE OF ILLINOIS LLC

Practice address

12829 Tipperary LN
Plainfield, IL 60585-2846

Phone

(630) 999-1661

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Nemath Ullah

Title

Manager

Phone

(630) 999-1661

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1265192553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12829 TIPPERARY LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12829 TIPPERARY LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852846",
            "telephone_number": "630-999-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID CARE OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "ULLAH",
        "authorized_official_first_name": "NEMATH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-999-1661"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Kathleen M Costello, PSY.D
• Stacy Countee, DT
• Covenant Care Home Health Inc.
• Megan Alano Covey, M.S., CCC-SLP
• Ashley Crabb
• Crescent Hospice and Palliative LLC
• Maureen Crockett, RN
• Alyssa Croom
• Crossroads Counseling Services, PLLC

• Clinical Medical Laboratory in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.