Specialty Physicians of Illinois, LLC
Organization Active NPI Urgent Care Clinic/Center · Frankfort, IL
NPI 1962024612 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1962024612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- SPECIALTY PHYSICIANS OF ILLINOIS, LLC
- Practice address
- 20180 S Lagrange Rd
Frankfort, IL 60423-3153 - Phone
- (815) 464-2010
- NPI assigned
- May 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Donna Phalen
- Title
- Director
- Phone
- (219) 554-4548
Other NPIs on the same Medicare enrollment 1
Member of 1
Practitioners 156
-
Tushar Advani, MD, PHD
-
Vasia A Ahmed, M.D.
-
Zohair Ahmed, M.D.
-
Elke Aippersbach, M.D.,M.SC.,
-
Amer Al Homssi, M.D.
-
Ayham Alagha, M.D.
-
Lena Khaled Alia, MD
-
Tara Allen, MS, RDN, LDN
-
Amer Alsamman, MD
-
Mark David Alter, M.D.
-
Lauro Amezcua-Patino, M.D.
-
Dexter Edwin Arrington, M.D.
-
Marie Michele Baird, D.O.
-
Cristina Bardita, MD, PHD
-
Joi F Bradshaw, MD
-
Larina Branch, DNP-FNP-BC
-
Gerald Cahill, M.D.
-
Gail Cansler, MD
-
Bridgette Millicent Cartwright Arnett, M.D., PHD
-
Richard Ceragioli, M.D.
-
May J Chow, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000602 | IL | Part B Supplier - Clinic/Group Practice | 4183529456 |
Receives reassigned benefits from 155 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Park Forest, IL; Tinley Park, IL; Richton Park, IL; Olympia Fields, IL; Oak Lawn, IL; Homewood, IL; Hazel Crest, IL; Frankfort, IL… |
National Provider Directory
Locations
10043 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 469-0609
18410 Governors Hwy
#B
Homewood, IL 60430
Phone (708) 647-0571
18408 Governors Hwy
Homewood, IL 60430
Phone (708) 647-0571
20201 Crawford Ave
#1276
Olympia Fields, IL 60461
Phone (708) 679-2270
3700 W 203rd St
Ste 302
Olympia Fields, IL 60461
Phone (708) 679-2518
3700 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2120
18030 Wolf Rd
Orland Park, IL 60467
Phone (708) 709-9650
22600 Cicero Ave
Richton Park, IL 60471
Phone (708) 747-6120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
20180 S Lagrange Rd
Frankfort, IL 60423-3153
Mailing address
35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7002769 | Other | IL | LICENSE ID NUMBER |
| 203979 | Other | IL | GROUP MEDICARE NUMBER |
Other names
- Wellgroup Healthpartners LLC
Other providers in Frankfort, IL
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- Andrea Jean Southall
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- Southwest Holistic Chiropractic, LTD.
- Speech Plus, P.C.
- Speechease PLLC
- Craig A Spencer
- Alyssa Spoerer
- Sports and Spine Rehab S.C.
All providers in Frankfort, IL · Urgent Care Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.