Healthcare Provider Details

I. General information

NPI: 1871365296
Provider Name (Legal Business Name): DES PLAINES COMMUNITY HEALTH CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 E NORTHWEST HWY STE 200
DES PLAINES IL
60016-2274
US

IV. Provider business mailing address

380 E NORTHWEST HWY STE 200
DES PLAINES IL
60016-2274
US

V. Phone/Fax

Practice location:
  • Phone: 847-845-8960
  • Fax: 847-813-0793
Mailing address:
  • Phone: 847-813-0700
  • Fax: 847-813-0793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ARVIND PATEL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 847-845-8960