Healthcare Provider Details

I. General information

NPI: 1366324006
Provider Name (Legal Business Name): SOS CARE MIDWEST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 NORTHFIELD PLZ STE 350
NORTHFIELD IL
60093-1210
US

IV. Provider business mailing address

2 NORTHFIELD PLZ STE 350
NORTHFIELD IL
60093-1210
US

V. Phone/Fax

Practice location:
  • Phone: 847-260-8169
  • Fax:
Mailing address:
  • Phone: 847-260-8169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN NICHOLAS MOUSTOUKAS
Title or Position: DR
Credential: MD
Phone: 504-669-1233