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MIDWEST EXPRESS CLINIC
NPI 1063954220
Internal Medicine in Blue Island, IL

Active since November 04, 2016CLIA Certified · 2 labs
12200 WESTERN AVE, BLUE ISLAND, IL 60406(630) 581-5372 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Midwest Express Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST EXPRESS CLINIC (NPI 1063954220) is a healthcare organization registered as an internal medicine in Blue Island, Illinois and active in the NPI registry since November 2016. The organization holds 2 active CLIA laboratory certificates and lists Judith Scott, Billing Manger, as its authorized official.

NPPES Registry Identity

NPI1063954220
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIDWEST EXPRESS CARE 2, INC
Location Address12200 WESTERN AVEBlue Island, IL 60406-1398
Mailing Address12200 Western AveBlue Island, IL 60406-1398 · (630) 581-5372
Phone(630) 581-5372
Organization SubpartYes
Authorized OfficialJudith ScottBilling Manger · (630) 581-5372
Enumeration DateNovember 4, 2016
✔ NPI 1063954220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed · 036090435
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12200 WESTERN AVE, Blue Island, IL 60406
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Other Names 1

Doing Business AsMidwest Express Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2067956

Midwest Express Clinic - Willowbrook · Willowbrook, IL
Active · expires Oct 23, 2027
CLIA Number14D2067956
Laboratory TypeUrgent Care
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorLinda Palumbo
Laboratory Phone(630) 581-5372
Laboratory LocationMidwest Express Clinic - Willowbrook40 75th St, Willowbrook, IL 60527
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2131462

Midwest Express Clinic - Blue Island · Blue Island, IL
Active · expires May 29, 2027
CLIA Number14D2131462
Laboratory TypeUrgent Care
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorLinda Palumbo
Laboratory Phone(708) 631-2781
Laboratory LocationMidwest Express Clinic - Blue Island12200 S Western Ave, Blue Island, IL 60406
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COLIN M HALEY D.D.S.
Dentist (General Practice)
12200 WESTERN AVE, SUITE 108
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
DR. DARLENE JO BUIS D.D.S.
Dentist (General Practice)
12200 WESTERN AVE, #108
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
DR. RANEEM R SHEBLAK DDS
Dentist
12200 WESTERN AVE, SUITE 108
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
EHAB TAHER AWADI GHANDOUR DMD
Dentist
12200 WESTERN AVE, STE 108
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
DR. KRISTIN MARIE ANDREWS D.D.S.
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
DR. SHEBA SARWAT KHAN D.D.S.
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 385-3700
MIDWEST EXPRESS CARE 3 LLC
Clinic/Center (Urgent Care)
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 631-2781
JENNIFER R. KOMADA NP-C
Nurse Practitioner (Family)
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 631-2781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Express Care 2, Inc's NPI number?

The NPI number for Midwest Express Care 2, Inc is 1063954220. It was assigned to this organization in the NPPES registry on November 4, 2016. The provider is doing business as Midwest Express Clinic.

Where is Midwest Express Care 2, Inc located?

Midwest Express Care 2, Inc is located at 12200 Western Ave, Blue Island, IL 60406. The listed phone number is (630) 581-5372.

What is Midwest Express Care 2, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Midwest Express Care 2, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Midwest Express Care 2, Inc was last updated on November 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.