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EXCELSIOR MEDICAL CENTER LTD
NPI 1174709117
Pediatrics in Mundelein, IL

Active since January 19, 2008CLIA 14D1075736 · Waiver
333 E IL ROUTE 83, SUITE 107, MUNDELEIN, IL 60060(847) 566-5556(847) 566-8886 Get Directions Write a Review

NPPES record last updated: January 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Excelsior Medical Center Ltd NPPES

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

EXCELSIOR MEDICAL CENTER LTD (NPI 1174709117) is a healthcare organization registered as a pediatrics in Mundelein, Illinois and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Olga Ulyanova, Owner, as its authorized official.

NPPES Registry Identity

NPI1174709117
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEXCELSIOR MEDICAL CENTER LTD
Location Address333 E IL ROUTE 83, SUITE 107Mundelein, IL 60060-4214
Mailing Address333 E Il Route 83, Suite 107Mundelein, IL 60060-4214 · (847) 566-5556 · Fax (847) 566-8886
Phone(847) 566-5556
Fax(847) 566-8886
Organization SubpartNo
Authorized OfficialOlga UlyanovaOwner · (847) 566-5556
Enumeration DateJanuary 19, 2008
✔ NPI 1174709117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
333 E IL ROUTE 83, Mundelein, IL 60060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 14D1075736

Excelsior Medical Center Ltd · Mundelein, IL
Active · expires Oct 25, 2027
CLIA Number14D1075736
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorOlga Ulyanova
Laboratory Phone(847) 566-5556
Laboratory LocationExcelsior Medical Center Ltd333 E Il Route 83, Suite 107, Mundelein, IL 60060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

CHIROPRACTIC4YOU, S.C.
Chiropractor
333 E IL ROUTE 83
MUNDELEIN, IL 60060
Lake County (224) 432-7226
NORTHERN ILLINOIS EYE CLINIC LLC
Ophthalmology
333 E IL ROUTE 83, 106
MUNDELEIN, IL 60060
Lake County (847) 566-5300
EMILY VELOTTA MD
Ophthalmology
333 E IL ROUTE 83, SUITE 106
MUNDELEIN, IL 60060
Lake County (847) 556-5300
INETTA V NIKOGOSIAN DN
Chiropractor
333 E IL ROUTE 83, SUITE 106
MUNDELEIN, IL 60060
Lake County (847) 566-0003
UK IMAGING INC
Clinic/Center (Radiology, Mobile)
333 E IL ROUTE 83, SUITE 103
MUNDELEIN, IL 60060
Lake County (847) 949-1222
HEALTH & WELLNESS CENTER INC.
Chiropractor
333 E IL ROUTE 83, SUITE 106
MUNDELEIN, IL 60060
Lake County (847) 566-0003
HONG SUK YOON D.D.S.
Dentist
333 E IL ROUTE 83, 101
MUNDELEIN, IL 60060
Lake County (847) 566-7212
FAMILY HEALTH PREVENTION & CARE CENTER, INC.
Clinic/Center (Primary Care)
333 E IL ROUTE 83, SUITE 106
MUNDELEIN, IL 60060
Lake County (847) 566-0003

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 Excelsior Medical Center Ltd's NPI number?

The NPI number for Excelsior Medical Center Ltd is 1174709117. It was assigned to this organization in the NPPES registry on January 19, 2008.

Where is Excelsior Medical Center Ltd located?

Excelsior Medical Center Ltd is located at 333 E Il Route 83 Suite 107, Mundelein, IL 60060. The listed phone number is (847) 566-5556.

What is Excelsior Medical Center Ltd's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Excelsior Medical Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1075736) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Excelsior Medical Center Ltd was last updated on January 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.