OrganizationActive
Excelsior Medical Center Ltd
NPI 1174709117 · Pediatrics Physician · Mundelein, IL
Provider details
- NPI number
- 1174709117
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olga Ulyanova, Owner(847) 566-5556
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
333 E Il Route 83
Suite 107
Mundelein, IL 60060-4214
Phone: (847) 566-5556
Fax: (847) 566-8886
Street-level locationGet directions
Mailing address
333 E Il Route 83
Mundelein, IL 60060-4214
Registry dates
- Enumerated
- 2008-01-19
- Last updated
- 2008-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.