Organization Active NPI

Quality Medical Care, SC

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1730195462
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036105942 Issued in IL
Legal business name
QUALITY MEDICAL CARE, SC
Practice address
1400 E Golf Road
Suite 220
Des Plaines, IL 60016-1252
Phone
(847) 297-2636
Fax
(847) 297-3252
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Shervin Dorodi, MDNPI 1861408510
Title
President
Phone
(847) 297-2636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036105942 IL Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A85638 CA

Addresses

Primary practice location

1400 E Golf Road
Suite 220
Des Plaines, IL 60016-1252

Mailing address

1400 E Golf Road
Suite 220
Des Plaines, IL 60016-1252
Phone (847) 297-2636

Other identifiers 4

IdentifierTypeStateIssuer
01634205OtherILBCBS OF IL
775321OtherILGOLD PLUS HUMANA
036105942MedicaidIL
8701968OtherILCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040515000207 IL Part B Supplier - Clinic/Group Practice 8224028832 Receives reassigned benefits from 1 practitioner
Practice locations: Des Plaines, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1034162Quality Medical Care SC1400 E Golf Rd - Suite 220, Des Plaines, IL 60016Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory

Locations

1400 E Golf Rd
Ste 220
Des Plaines, IL 60016
Phone (847) 297-2636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1730195462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E GOLF ROAD",
            "address_2": "SUITE 220",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161252",
            "telephone_number": "847-297-2636",
            "fax_number": "847-297-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E GOLF ROAD",
            "address_2": "SUITE 220",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161252",
            "telephone_number": "847-297-2636",
            "fax_number": "847-297-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "DORODI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-297-2636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105942",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01634205",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLD PLUS HUMANA",
            "identifier": "775321",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105942",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8701968",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.