NPIMap

Organization Active NPI

Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Chicago Ridge, IL
National Provider Identifier
1972344869
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MIDWEST EXPRESS CARE 2, INC
Practice address
9900 Ridgeland Ave Unit 510
Chicago Ridge, IL 60415-1241
Phone
(708) 312-1399
Fax
(708) 515-4723
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

9900 Ridgeland Ave Unit 510
Chicago Ridge, IL 60415-1241

Mailing address

9900 Ridgeland Ave Unit 510
Chicago Ridge, IL 60415-1241
Phone (708) 312-1399

Other names 1

  • Midwest Express Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416002023 IL DME Supplier - Physician - Family Practice 0547495467 Practice locations: Chicago Ridge, IL

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
14D2299301Midwest Express Clinic - Chicago Ridge9900 S Ridgeland Ave #415301, Chicago Ridge, IL 60415Certificate of waiverFeb 15, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 221

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

View all 221

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1972344869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 RIDGELAND AVE UNIT 510",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151241",
            "telephone_number": "708-312-1399",
            "fax_number": "708-515-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 RIDGELAND AVE UNIT 510",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151241",
            "telephone_number": "708-312-1399",
            "fax_number": "708-515-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 2, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "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 Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.