Carestaff Doctors LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARESTAFF DOCTORS LLC

Practice address

7301 N Lincoln Ave Ste 121
Lincolnwood, IL 60712-1758

Phone

(224) 470-2814

Fax

(224) 470-2815

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Mark Mabaquiao

Title

President

Phone

(224) 470-2814

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1891345146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N LINCOLN AVE STE 121",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121758",
            "telephone_number": "224-470-2814",
            "fax_number": "224-470-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N LINCOLN AVE STE 121",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121758",
            "telephone_number": "224-470-2814",
            "fax_number": "224-470-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESTAFF DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MABAQUIAO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-470-2814"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.