Organization Active NPI

Kantar Medical Consultants SC

  • Family Medicine Physician
  • Joliet, IL
National Provider Identifier
1518459759
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KANTAR MEDICAL CONSULTANTS SC
Practice address
1051 Essington Rd Ste 290
Joliet, IL 60435-2842
Phone
(815) 773-7827
Fax
(815) 254-8442
NPI assigned
Jun 4, 2018
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mouhannad Kantar, MDNPI 1710127576
Title
Owner
Phone
(702) 308-6892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X
Gerontology Nurse Practitioner 363LG0600X

Addresses

Primary practice location

1051 Essington Rd Ste 290
Joliet, IL 60435-2842

Mailing address

1051 Essington Rd Ste 290
Joliet, IL 60435-2842
Phone (815) 773-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180709000664 IL Part B Supplier - Clinic/Group Practice 1153677067 Receives reassigned benefits from 5 practitioners
Practice locations: Joliet, IL; Plainfield, IL; New Lenox, IL

National Provider Directory

National Provider Directory

Locations

1051 Essington Rd
Ste 100
Joliet, IL 60435
Phone (815) 744-4440

14716 S Eastern Ave
Plainfield, IL 60544
Phone (815) 436-3400

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1518459759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD STE 290",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352842",
            "telephone_number": "815-773-7827",
            "fax_number": "815-254-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD STE 290",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352842",
            "telephone_number": "815-773-7827",
            "fax_number": "815-254-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTAR MEDICAL CONSULTANTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "KANTAR",
        "authorized_official_first_name": "MOUHANNAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-308-6892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

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

Verify at the official NPI Registry.