NPIMap

Individual provider Active NPI

Mouhannad Kantar, M.D.

  • Family Medicine Physician
  • Joliet, IL
National Provider Identifier
1710127576
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036129917 Issued in IL
Practice address
1051 Essington Rd Ste 290
Joliet, IL 60435-2842
Phone
(815) 773-7827
Fax
(815) 254-8442
NPI assigned
Mar 5, 2009
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036129917 IL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036129917 IL

Addresses

Primary practice location

1051 Essington Rd Ste 290
Joliet, IL 60435-2842

Mailing address

345 E Wacker Dr Unit 4101
Chicago, IL 60601-5274
Phone (702) 308-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120504000509 IL Practitioner - Family Practice 8123175395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kantar Medical Consultants SCGroup PAC ID 1153677067, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kantar Medical Consultants SC Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Guadalupe Medical Center/Okamoto MD PC Past Accepting new patients

Locations

1051 Essington Rd
Ste 290
Joliet, IL 60435
Phone (815) 773-0099

500 S Weber Rd
Romeoville, IL 60446
Phone (630) 856-8620

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa FranciscanJoliet, IL, CCN 145029 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1710127576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E WACKER DR UNIT 4101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015274",
            "telephone_number": "702-308-6892"
        },
        {
            "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": {
        "last_name": "KANTAR",
        "first_name": "MOUHANNAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036129917",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036129917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.