Provider Demographics
NPI:1205621158
Name:WESTLAKE URGENT CARE NFP
Entity type:Organization
Organization Name:WESTLAKE URGENT CARE NFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELLYE
Authorized Official - Middle Name:
Authorized Official - Last Name:PECHULIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-690-1911
Mailing Address - Street 1:1419 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-3930
Mailing Address - Country:US
Mailing Address - Phone:708-690-1911
Mailing Address - Fax:708-397-4613
Practice Address - Street 1:1419 W LAKE ST
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-3930
Practice Address - Country:US
Practice Address - Phone:708-690-1911
Practice Address - Fax:708-397-4613
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTLAKE URGENT CARE NFP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center