MIDWEST EXPRESS CARE 3 LLC (NPI# 1184158354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184158354 |
| Entity Type | Organization |
| Organization Name | MIDWEST EXPRESS CARE 3 LLC |
| Other Organization Name | LOC #1: BLUE ISLAND |
| Practice Address |
12200 Western Ave Blue Island IL 60406-1398 |
| Practice Telephone | 7086312781 |
| Practice Fax Number | 7086312783 |
| Mailing Telephone | 7086312781 |
| Mailing Fax Number | 7086312783 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | MR. MILAP SHAH (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7086312781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Loc #1: Blue Island | Doing Business As Name - Organization |
| Street Address |
12200 WESTERN AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396850137 | Wskc Dialysis Services, Inc. | Clinic/Center | 12200 Western Ave, Suite 120, Blue Island, IL 60406-1398 | 2006-08-20 |
| 1659938728 | Jehan Kuri | Dentist | 12200 Western Ave, Blue Island, IL 60406-1398 | 2019-05-23 |
| 1992280168 | Ahmed Sharaf | Dentist | 12200 Western Ave, Blue Island, IL 60406-1398 | 2018-10-03 |
| 1689161614 | Emily E Mohyde | Nurse Practitioner | 12200 Western Ave, Blue Island, IL 60406-1398 | 2018-04-16 |
| 1356857890 | Kristen M Sobol | Nurse Practitioner | 12200 Western Ave, 100, Blue Island, IL 60406-1399 | 2017-12-20 |
| 1245754787 | Jennifer R. Komada | Nurse Practitioner | 12200 Western Ave, Blue Island, IL 60406-1398 | 2017-07-26 |
| 1679019301 | Tiffany J Porter | Nurse Practitioner | 12200 Western Ave, Blue Island, IL 60406-1398 | 2017-01-19 |
| 1063954220 | Midwest Express Care 2, Inc | Internal Medicine | 12200 Western Ave, Blue Island, IL 60406-1398 | 2016-11-04 |
| 1295121341 | Sheba Sarwat Khan | Dentist | 12200 Western Ave, Blue Island, IL 60406-1398 | 2015-04-15 |
| 1659770741 | Ehab Taher Awadi Ghandour | Dentist | 12200 Western Ave, Ste 108, Blue Island, IL 60406-1398 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514090 | Elitecare Express LLC | Clinic/Center | 6740 Dempster St, Morton Grove, IL 60053-2609 | 2020-10-03 |
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1699397729 | Urgent Medical Care LLC | Clinic/Center | 980 Plainfield Rd, Willowbrook, IL 60527-1705 | 2020-05-12 |
| 1134749294 | Daniel Joseph Izewski | Clinic/Center | 3908 Elm St, Downers Grove, IL 60515-2119 | 2020-04-19 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1417518432 | Midwest Express Care 2, Inc | Clinic/Center | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2019-06-21 |
| 1457818536 | Wellnow Urgent Care, P.C. | Clinic/Center | 13448 Cicero Avenue, Crestwood, IL 60418-1430 | 2019-02-26 |
| 1215407812 | Illinois Urgent Care Professionals Pllc | Clinic/Center | 17960 Halsted St, Homewood, IL 60430-2014 | 2018-11-27 |
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1487134961 | Express Urgent Care LLC | Clinic/Center | 10604 Southwest Hwy, Suite 109, Chicago Ridge, IL 60415-2717 | 2018-08-15 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
Please comment or provide details below to improve the information on MIDWEST EXPRESS CARE 3 LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.