NPIMap

Organization Active NPI

Specialty Physicians of Illinois, LLC

  • Urgent Care Clinic/Center
  • Frankfort, IL
National Provider Identifier
1962024612
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 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
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Donna Phalen
Title
Director
Phone
(219) 554-4548

Specialties & licenses 1

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

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 names 1

  • Wellgroup Healthpartners LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3235 Vollmer Rd
Ste 147
Flossmoor, IL 60422
Phone (708) 799-2333

19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889

4932 W 95th St
Oak Lawn, IL 60453
Phone (708) 422-5658

20201 Crawford Ave
#1276
Olympia Fields, IL 60461
Phone (708) 679-2270

3700 W 203rd St
Ste 302
Olympia Fields, IL 60461
Phone (708) 679-2120

20303 Crawford Ave
Ste 120
Olympia Flds, IL 60461
Phone (219) 865-5795

18030 Wolf Rd
Orland Park, IL 60467
Phone (708) 709-9650

Practitioners & affiliated clinicians

Practitioners 152

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 152

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1962024612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35318 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781353",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233153",
            "telephone_number": "815-464-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHYSICIANS OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "PHALEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-554-4548"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellgroup Healthpartners LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wellgroup Healthpartners LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.