NPIMap

Organization Active NPI

Midwest Express Care 2, Inc

Doing business as Midwest Express Clinic

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1659952554
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MIDWEST EXPRESS CARE 2, INC
Doing business as
Midwest Express Clinic
Practice address
5521 S Kedzie Ave Unit 106
Chicago, IL 60629-2448
Phone
(773) 306-2546
Fax
(773) 424-0301
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST EXPRESS CARE 2, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Milap Shah
Title
Owner
Phone
(219) 802-8800

Specialties & licenses 1

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

Addresses

Primary practice location

5521 S Kedzie Ave Unit 106
Chicago, IL 60629-2448

Mailing address

PO Box 775253
Chicago, IL 60677-5253

Other names 1

  • Midwest Express Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609001776 IL DME Supplier - Physician - Family Practice 0547495467 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2225865Midwest Express Clinic - Gage Park5521 S Kedzie Ave - Unit 106, Chicago, IL 60629Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory
Part of
Midwest Express Care 2 Inc

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

12200 Western Ave
Ste 100
Blue Island, IL 60406
Phone (708) 631-2781

157 E Boughton Rd
Bolingbrook, IL 60440
Phone (630) 326-7981

5240 N Pulaski Rd
Ste O
Chicago, IL 60630
Phone (773) 257-0612

5521 S Kedzie Ave
Unit 106
Chicago, IL 60629
Phone (773) 306-2546

6239 S Archer Ave
Chicago, IL 60638
Phone (630) 581-5372

9900 Ridgeland Ave
Unit 510
Chicago Ridge, IL 60415
Phone (708) 312-1399

305 N York St
Elmhurst, IL 60126
Phone (331) 221-4350

2508 W 94th St
Evergreen Park, IL 60805
Phone (708) 470-7383

2601 W N Ave
Melrose Park, IL 60160
Phone (708) 345-8968

15541 Cicero Ave
Oak Forest, IL 60452
Phone (708) 320-3570

4801 Sauk Trl
Unit B
Richton Park, IL 60471
Phone (708) 773-1643

7343 Lake St
River Forest, IL 60305
Phone (708) 231-8908

17119 La Grange Rd
Tinley Park, IL 60487
Phone (708) 942-6707

17124 Harlem Ave
Tinley Park, IL 60477
Phone (331) 481-5048

1910 E Roosevelt Rd
Wheaton, IL 60187
Phone (331) 866-1013

Practitioners & affiliated clinicians

Practitioners 450

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 450

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1659952554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775253",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 S KEDZIE AVE UNIT 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292448",
            "telephone_number": "773-306-2546",
            "fax_number": "773-424-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 2, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EXPRESS CARE 2, INC",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MILAP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-802-8800"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Express Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.