NPIMap

Organization Active NPI

E Mediate Cure LLC

Doing business as E Mediate Cure

  • Urgent Care Clinic/Center
  • Shorewood, IL
National Provider Identifier
1780051466
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
E MEDIATE CURE LLC
Doing business as
E Mediate Cure
Practice address
1039 Brook Forest Ave
Shorewood, IL 60404-8849
Phone
(815) 681-7733
NPI assigned
Aug 28, 2015
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Amy VertinNPI 1417397050
Title
Owner
Phone
(815) 681-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1039 Brook Forest Ave
Shorewood, IL 60404-8849

Mailing address

1039 Brook Forest Ave
Shorewood, IL 60404-8849

Other names 1

  • E Mediate Cure Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151105002342 IL Part B Supplier - Clinic/Group Practice 4587974332 Receives reassigned benefits from 54 practitioners
Practice locations: Joliet, IL; Plainfield, IL; Shorewood, IL

National Provider Directory

National Provider Directory

Locations

1971 Gowdey Rd
Naperville, IL 60563
Phone (630) 416-7293

858 Center Ct
Unit D
Shorewood, IL 60404
Phone (815) 725-9837

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1780051466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 BROOK FOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 BROOK FOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048849",
            "telephone_number": "815-681-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MEDIATE CURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "VERTIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-681-7733"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Mediate Cure",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shorewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.