Midwest Express Care 2, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MIDWEST EXPRESS CARE 2, INC

Practice address

12850 S Ashland Ave
Calumet Park, IL 60827-6308

Phone

(708) 972-7958

Fax

(708) 972-7969

NPI assigned

Feb 24, 2021

Organization subpart

Yes

Parent organization

MIDWEST EXPRESS CARE 2, INCAs reported in NPPES

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

Addresses

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

CLIA laboratory certificates

Part of

Midwest Express Care 2 Inc

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1982298469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775253",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 S ASHLAND AVE",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276308",
            "telephone_number": "708-972-7958",
            "fax_number": "708-972-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 2, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EXPRESS CARE 2, INC",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "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": []
}

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• Andrea Moore
• Shybella Morgan
• Brianna Neal, LSW
• Kristie Sue Paprocki, SLP
• Katarzyna Para, FNP-C

• Urgent Care Clinic/Center in Calumet Park, IL
• Providers in Calumet Park, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.