Active NPI
Excel Immediate Care LLC
- Urgent Care Clinic/Center
- Westchester, IL
National Provider Identifier
1689319469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- EXCEL IMMEDIATE CARE LLC
- Practice address
- 10540 W Cermak Rd
Westchester, IL 60154-5250 - Phone
- (312) 838-7000
- NPI assigned
- May 4, 2022
- 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
- Excel Care, NP
- Title
- NP
- Phone
- (312) 838-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
10540 W Cermak Rd
Westchester, IL 60154-5250
Mailing address
10540 W Cermak Rd
Westchester, IL 60154-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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 |
|---|---|---|---|
| 14D2290609 | Excel Immediate Care | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Willowbrook, IL
- NPI 1588172480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1689319469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 W CERMAK RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10540 W CERMAK RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545250",
"telephone_number": "312-838-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL IMMEDIATE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "CARE",
"authorized_official_first_name": "EXCEL",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "312-838-7000",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.