Healthcare Provider Details

I. General information

NPI: 1104791144
Provider Name (Legal Business Name): E ZEE URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S WEBER RD
ROMEOVILLE IL
60446-3980
US

IV. Provider business mailing address

245 S WEBER RD
ROMEOVILLE IL
60446-3980
US

V. Phone/Fax

Practice location:
  • Phone: 630-597-1234
  • Fax: 630-278-3294
Mailing address:
  • Phone: 630-597-1234
  • Fax: 630-278-3294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily 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 Number
License Number State

VIII. Authorized Official

Name: SHAKUMAR PATEL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 630-597-1234