ELITE MED URGENT CARE LLC
NPI 1194594648
Clinic/Center - Urgent Care in Hickory Hills, IL

Active since December 26, 2023CLIA 14D2302590 · Waiver
9634 S ROBERTS RD, HICKORY HILLS, IL 60457(708) 741-7944(708) 741-7941 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elite Med Urgent Care Llc NPPES

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

ELITE MED URGENT CARE LLC (NPI 1194594648) is a healthcare organization registered as an urgent care in Hickory Hills, Illinois and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Abdelkhaliq Qasem, Owner, as its authorized official.

NPPES Registry Identity

NPI1194594648
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameELITE MED URGENT CARE LLC
Location Address9634 S ROBERTS RDHickory Hills, IL 60457-2238
Mailing Address9634 S Roberts RdHickory Hills, IL 60457-2238 · (708) 380-8888
Fax(708) 741-7941
Organization SubpartNo
Authorized OfficialAbdelkhaliq QasemOwner · (708) 380-8008
Enumeration DateDecember 26, 2023
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1194594648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
9634 S ROBERTS RD, Hickory Hills, IL 60457

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Med Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Elite Med Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1639707532
9634 S ROBERTS RD
Hickory Hills, IL 60457
(708) 741-7944
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093456568
40 75TH ST
Willowbrook, IL 60527
(630) 581-5372
✔ PECOS✔ Accepts Medicare7.1 mi
Internal Medicine
NPI 1215510201
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-6384
✔ PECOS✔ Accepts Medicare116 mi
Family Practice
NPI 1184357394
3501 JAMBOREE RD STE 1200
Newport Beach, CA 92660
(949) 988-7888
✔ PECOS✔ Accepts Medicare1,728 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D2302590

Elite Med Urgent Care · Hickory Hills, IL
Active · expires Apr 11, 2028
CLIA Number14D2302590
Laboratory TypeUrgent Care Clinic
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorAbdelkhaliq I. Qasem
Laboratory Phone(708) 380-8888
Laboratory LocationElite Med Urgent Care9634 S Roberts Rd, Hickory Hills, IL 60457
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elite Med Urgent Care LLC's NPI number?

The NPI number for Elite Med Urgent Care LLC is 1194594648. It was assigned to this organization in the NPPES registry on December 26, 2023.

Where is Elite Med Urgent Care LLC located?

Elite Med Urgent Care LLC is located at 9634 S Roberts Rd, Hickory Hills, IL 60457. The listed phone number is (708) 741-7944.

What is Elite Med Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Elite Med Urgent Care LLC enrolled in Medicare?

Yes. Elite Med Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Med Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Elite Med Urgent Care LLC, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Med Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2302590) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Med Urgent Care LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Elite Med Urgent Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elite Med Urgent Care LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.