Pioneer Healthcare Provider Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIONEER HEALTHCARE PROVIDER INC

Practice address

2720 S River Rd Ste 101a
Des Plaines, IL 60018-4110

Phone

(224) 500-3960

NPI assigned

Mar 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad Shekarkhar

Title

Manging Director

Phone

(224) 500-3960

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1124828082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 101A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184110",
            "telephone_number": "224-500-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 101A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184110",
            "telephone_number": "224-500-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTHCARE PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "SHEKARKHAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MANGING DIRECTOR",
        "authorized_official_telephone_number": "224-500-3960"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.