MEDEXPRESS URGENT CARE ILLINOIS, P.C. (NPI# 1205367802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205367802 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE ILLINOIS, P.C. |
| Other Organization Name | MEDEXPRESS URGENT CARE - PEORIA, N BIG HOLLOW RD |
| Practice Address |
5038 N Big Hollow Road Peoria IL 61615-3510 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 3096915690 |
| Practice Fax Number | 3096915687 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | MR. BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Peoria, N Big Hollow Rd | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859781 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 226 S Randall Rd, Algonquin, IL 60102-9775 | 2017-09-05 |
| 1861919367 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 601 E Roosevelt Rd, Lombard, IL 60148-4740 | 2017-08-25 |
| 1184146110 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 804 S Route 59 Ste 110, Naperville, IL 60540-9112 | 2017-07-12 |
| 1427405968 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 515 Belt Line Rd, Collinsville, IL 62234-4411 | 2016-05-14 |
| 1245693977 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 1704 Homer M Adams Parkway, Alton, IL 62002-5603 | 2016-03-31 |
| 1033574256 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 2524 N Illinois St, Swansea, IL 62226-2353 | 2015-12-16 |
| 1922530047 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 1560 75th St, Downers Grove, IL 60516-6207 | 2017-03-29 |
| 1326408428 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 326 N 24th St, Quincy, IL 62301-3140 | 2016-03-02 |
| Street Address |
5038 N BIG HOLLOW ROAD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645474 | Honorhealth Urgent Care, LLC | Clinic/Center | 10230 W Happy Valley Pkwy Ste 100c, Peoria, AZ 85383-4255 | 2019-02-19 |
| 1013421429 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 24874 N 67th Ave Ste 101, Peoria, AZ 85383-4104 | 2017-11-21 |
| 1649615022 | Peoria Urgent Care Center, LLC | Clinic/Center | 8914 N 91st Ave Ste 100, Peoria, AZ 85345-8390 | 2013-04-30 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1356547798 | Ultimate Urgent Care Centers | Clinic/Center | 7727 W. Deer Valley Road, Suite 210, Peoria, AZ 85382 | 2007-06-22 |
| 1609348226 | Banner Urgent Care Services, LLC | Clinic/Center | 21980 N 83rd Ave, Peoria, AZ 85383-1850 | 2018-12-20 |
| 1144792763 | Banner Urgent Care Services, LLC | Clinic/Center | 7611 W Cactus Rd, Peoria, AZ 85381-5203 | 2018-12-20 |
| 1891245569 | Cigna Healthcare of Az | Clinic/Center | 9069 W Thunderbird, Peoria, AZ 85381 | 2016-10-06 |
| 1639524226 | Amkal LLC | Clinic/Center | 7615 W Thunderbird Rd, Suite 106, Peoria, AZ 85381 | 2016-05-02 |
| 1194119412 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 21471 N Lake Pleasant Pkwy, Suite 1710, Peoria, AZ 85382-0001 | 2015-03-25 |
| Find all providers in PEORIA | ||||
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| 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.