Organization Active NPI

Westlake Urgent Care NFP

  • Urgent Care Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1295376721
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WESTLAKE URGENT CARE NFP
Practice address
1419 W Lake St
Melrose Park, IL 60160-3930
Phone
(708) 690-1911
Fax
(630) 884-8839
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary

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

Other organizations with this tax ID 1

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

Locations

1419 W Lake St
Ste A
Melrose Park, IL 60160
Phone (630) 847-7880

1419 W Lake St
Melrose Park, IL 60160
Phone (312) 343-2095

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1295376721",
    "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": "630-884-8839"
        },
        {
            "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": "630-884-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE URGENT CARE NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2025-07-18",
        "certification_date": "2020-09-30",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 18, 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.