NPIMap

Organization Active NPI

Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Matteson, IL
National Provider Identifier
1689381444
Registry record updated Nov 1, 2022
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
402 Town Center Rd
Matteson, IL 60443-2300
Phone
(708) 852-5179
Fax
(708) 481-2010
NPI assigned
Nov 1, 2022
Organization subpart
Yes
Parent organization
MIDWEST EXPRESS CARE 2, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 Primary

Addresses

Primary practice location

402 Town Center Rd
Matteson, IL 60443-2300

Mailing address

PO Box 775253
Chicago, IL 60677-5253

Other names 1

  • Midwest Express Clinic Doing business as

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
14D2271148Midwest Express Clinic - Matteson402 Town Center Rd, Matteson, IL 60443Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Midwest Express Care 2 Inc17 organizations share this tax ID, including this one
Part of
Midwest Express Care 2 Inc

Other organizations with this tax ID 16

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

View all 16

Locations

402 Town Center Rd
Matteson, IL 60443
Phone (708) 843-1877

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1689381444",
    "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": "402 TOWN CENTER RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432300",
            "telephone_number": "708-852-5179",
            "fax_number": "708-481-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 2, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EXPRESS CARE 2, INC",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Express Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.

Verify at the official NPI Registry.