Mobile Care Foundation

Primary specialty

SpecialistTaxonomy code 174400000X

License

036090394 Issued in IL

Legal business name

MOBILE CARE FOUNDATION

Doing business as

Mobile Care Chicago

Practice address

239 W Root St
Chicago, IL 60609-2848

Phone

(773) 254-4030

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rita Castaneda

Title

Office Manager

Phone

(773) 254-4030

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mobile Care Chicago Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Cabrales, APN

  • Pediatric Nurse Practitioner
  • Chicago, IL
  • NPI 1366848400
  NPD
• Joi A Butler, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1255339313
  NPD (past)
• Karen Pam Malamut, DO

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1083728455
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1265502728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W ROOT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606092848",
            "telephone_number": "773-254-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W ROOT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606092848",
            "telephone_number": "773-254-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-254-4030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036090394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090394",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635798",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Care Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mattin Moazzam, MD
• Giulia Mobarhan, M.D.
• Nisreen Omar Mobayed
• Lauren Moberg, DAT, LAT, ATC
• Mobile Anesthesiologists of Missouri, LLC
• Mobile Doctors Management
• Mobile Doctors, LLC
• Mobile Doctors,Inc
• Mobile Heal Well Wound Care LLC
• Mobile Health Team

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.