Des Plaines Medical Care LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DES PLAINES MEDICAL CARE LLC.

Practice address

646 W Algonquin Rd
Des Plaines, IL 60016-5760

Phone

(630) 386-6612

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Ferdinand Catotal, FNPNPI 1538681572

Title

Sole Member

Phone

(630) 748-9132

Specialties & licenses 1

Addresses

Other names 1

• Des Plaines Medical Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Ferdinand Catotal, FNP

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1538681572

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Pocholo Santos Florentino, M.D,

  • Family Medicine Physician
  • Des Plaines, IL
  • NPI 1982720314
  Medicare reassignment Care Compare group NPD
• Mohammad Adnan Khan, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1679033229
  Medicare reassignment NPD

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1639825698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W ALGONQUIN RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W ALGONQUIN RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165760",
            "telephone_number": "630-386-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PLAINES MEDICAL CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "CATOTAL",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "630-748-9132",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Plaines Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Des Plaines Dermatology, LTD.
• Des Plaines Eye Physicians & Surgeons, LTD.
• Des Plaines Eyecare Center LLC
• Des Plaines Family Dentistry, LLC
• Des Plaines Fire Department
• Des Plaines Radiologists SC
• Des Plaines Surgicare Inc
• Bela D Desai, MD
• Roshni Desai, PTA
• Ashley Lucknise Descorbeth, FNP

• Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.