| Des Plaines Medical Care Llc. | |
|
646 W Algonquin Rd Des Plaines IL 60016-5760 | |
| (630) 386-6612 | |
| Not Available |
| Full Name | Des Plaines Medical Care Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 646 W Algonquin Rd, Des Plaines, Illinois |
| Authorized Official Name and Position | Ferdinand Catotal (SOLE MEMBER) |
| Authorized Official Contact | 6307489132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Des Plaines Medical Care Llc. 646 W Algonquin Rd Des Plaines IL 60016-5760 Ph: () - | Des Plaines Medical Care Llc. 646 W Algonquin Rd Des Plaines IL 60016-5760 Ph: (630) 386-6612 |
| NPI Number | 1639825698 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Medicare PECOS PAC ID | 7214301431 |
|---|---|
| Medicare Enrollment ID | O20230329002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639825698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Pocholo S Florentino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982720314 PECOS PAC ID: 4587754692 Enrollment ID: I20071213000118 |
| Provider Name | Ferdinand Catotal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538681572 PECOS PAC ID: 5799015350 Enrollment ID: I20230329002088 |
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