Healthcare Provider Details

I. General information

NPI: 1700961232
Provider Name (Legal Business Name): THE MEDICAL CARE GROUP LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 LEE ST SUITE 480
DES PLAINES IL
60016-4539
US

IV. Provider business mailing address

701 LEE ST SUITE 480
DES PLAINES IL
60016-4539
US

V. Phone/Fax

Practice location:
  • Phone: 847-827-3008
  • Fax: 847-827-3801
Mailing address:
  • Phone: 847-827-3008
  • Fax: 847-827-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KENNETH J CURELO
Title or Position: ADMINISTRATOR
Credential:
Phone: 847-827-3008