Healthcare Provider Details

I. General information

NPI: 1386047397
Provider Name (Legal Business Name): ULTIMATE MEDICAL CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 W 87TH ST
BURBANK IL
60459-2902
US

IV. Provider business mailing address

121 FOREST EDGE DR
PALOS PARK IL
60464-1949
US

V. Phone/Fax

Practice location:
  • Phone: 708-699-7573
  • Fax:
Mailing address:
  • Phone: 708-699-7573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number036.119432
License Number StateIL

VIII. Authorized Official

Name: DR. STEVE A ELMOSA
Title or Position: PRESIDENT
Credential: D.O.
Phone: 708-699-7573