Provider Demographics
NPI:1366324006
Name:SOS CARE MIDWEST
Entity type:Organization
Organization Name:SOS CARE MIDWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:MOUSTOUKAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-669-1233
Mailing Address - Street 1:2 NORTHFIELD PLZ STE 350
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1210
Mailing Address - Country:US
Mailing Address - Phone:847-260-8169
Mailing Address - Fax:
Practice Address - Street 1:2 NORTHFIELD PLZ STE 350
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-1210
Practice Address - Country:US
Practice Address - Phone:847-260-8169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care