Physicians Express, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHYSICIANS EXPRESS, LLC

Practice address

2000 W Main St
Suite M
St Charles, IL 60174-1775

Phone

(630) 584-9242

Fax

(630) 584-9243

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vimal N Patel, D.O.NPI 1750341061

Title

Medical Director

Phone

(630) 584-9242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vimal Navinchandra Patel, D.O.

  • Family Medicine Physician
  • St Charles, IL
  • NPI 1750341061
  Medicare reassignment NPD Authorized official
• Katherine Cooley, PA-C

  • Physician Assistant
  • St Charles, IL
  • NPI 1104697556
  NPD
• Veera Qureshi, PA-C

  • Physician Assistant
  • Bolingbrook, IL
  • NPI 1811678675
  NPD
• Alyssa Micek, PA-C

  • Physician Assistant
  • Warrenville, IL
  • NPI 1821632175
  NPD (past)
• Archana Patel, PA-C

  • Physician Assistant
  • St Charles, IL
  • NPI 1962836353
  NPD (past)
• Neil Alan Paulsen

  • Physician Assistant
  • St Charles, IL
  • NPI 1851799738
  NPD (past)
• Khushboo M Shah, PA-C

  • Physician Assistant
  • Evanston, IL
  • NPI 1336779487
  NPD (past)
• Frank Kolovrat Jr.

  • Medical Physician Assistant
  • Ocala, FL
  • NPI 1205037918
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1821059452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W MAIN ST",
            "address_2": "SUITE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741775",
            "telephone_number": "630-584-9242",
            "fax_number": "630-584-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MAIN ST",
            "address_2": "SUITE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741775",
            "telephone_number": "630-584-9242",
            "fax_number": "630-584-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EXPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-584-9242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalisha M Peterson
• Kristen Peterson, PT
• Kristin Petitti, LCSW
• Nam Phan, PHARMD
• Phoenix Rising Solutions, LLC
• Physiomed, SC
• Physiotherapy Associates Inc
• Maria Pica, O.D.
• Michael Pica, PSY.D.
• Kimberly Pieczynski, N.P.

• Primary Care Clinic/Center in St Charles, IL
• Providers in St Charles, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.