Organization Active NPI

Des Plaines Community Health Care Center Inc

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1871365296
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DES PLAINES COMMUNITY HEALTH CARE CENTER INC
Practice address
380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274
Phone
(847) 845-8960
Fax
(847) 813-0793
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Dr. Arvind Patel, MDNPI 1386662658
Title
Medical Director
Phone
(847) 845-8960

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274

Mailing address

380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274
Phone (847) 813-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105002647 IL Part B Supplier - Clinic/Group Practice 3678924404 Receives reassigned benefits from 8 practitioners
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
14D2324537Des Plaines Community Healthcare Center380 E Northwest Hwy - Ste 200, Des Plaines, IL 60016Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

380 E Northwest Hwy
Ste 20
Des Plaines, IL 60016

Practitioners & affiliated clinicians

Practitioners 8

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1871365296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-813-0700",
            "fax_number": "847-813-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-845-8960",
            "fax_number": "847-813-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PLAINES COMMUNITY HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-845-8960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 28, 2023; 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.