Provider Demographics
NPI:1730195462
Name:QUALITY MEDICAL CARE, SC
Entity type:Organization
Organization Name:QUALITY MEDICAL CARE, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORODI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-297-2636
Mailing Address - Street 1:1400 E GOLF ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1252
Mailing Address - Country:US
Mailing Address - Phone:847-297-2636
Mailing Address - Fax:847-297-3252
Practice Address - Street 1:1400 E GOLF ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1252
Practice Address - Country:US
Practice Address - Phone:847-297-2636
Practice Address - Fax:847-297-3252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85638207Q00000X
IL036105942207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634205OtherBCBS OF IL
IL775321OtherGOLD PLUS HUMANA
IL036105942Medicaid
IL8701968OtherCIGNA
IL01634205OtherBCBS OF IL
IL775321OtherGOLD PLUS HUMANA
H91621Medicare UPIN