Active NPI
Spectrum Health Partners, LLC
- Urgent Care Clinic/Center
- Elmhurst, IL
National Provider Identifier
1356137384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- SPECTRUM HEALTH PARTNERS, LLC
- Practice address
- 300 W Butterfield Rd
Elmhurst, IL 60126-5017 - Phone
- (630) 984-9880
- NPI assigned
- Apr 16, 2025
- 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
- Dr. John Nicholas Moustoukas, MD
- Title
- Owner
- Phone
- (847) 260-8169
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
300 W Butterfield Rd
Elmhurst, IL 60126-5017
Mailing address
898 Ash St
Winnetka, IL 60093-2436
Phone (504) 669-1233
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2327235 | Spectrum Health Partners, LLC | Certificate of waiver | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744934400000",
"number": "1356137384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "898 ASH ST",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600932436",
"telephone_number": "504-669-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W BUTTERFIELD RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265017",
"telephone_number": "630-984-9880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM HEALTH PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-16",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A",
"authorized_official_last_name": "MOUSTOUKAS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-260-8169",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"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 Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.