Midwest Physician Group Ltd in Chicago - Family Medicine

Midwest Physician Group Ltd - NPI 1639216435

Midwest Physician Group Ltd is a Family Medicine in Chicago, Illinois. Midwest Physician Group Ltd practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Midwest Physician Group Ltd is 1639216435. The last update date is 2020-08-22.

Midwest Physician Group Ltd's current location address is 10242 S Vincennes Ave, Chicago, Illinois. You can contact this provider via phone number 7732381676 and fax number 7732381641. The mailing address for Midwest Physician Group Ltd is 10242 S Vincennes Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Midwest Physician Group Ltd
Address 10242 S Vincennes Ave, Chicago, Illinois
Phone Number 7732381676
Fax Number 7732381641
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Nelson J Deborah
Telephone Number 7087477960

NPI Number Detail

NPI Number 1639216435
Provider Enumeration Date 2007-01-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 10242 S Vincennes Ave
City Chicago
State Illinois (IL)
Post Code 6064313010
Phone Number 7732381676
Fax Number 7732381641

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1616617 IL BCBS

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FAQs about Midwest Physician Group Ltd

What is the unique identifier code issued to Midwest Physician Group Ltd by the Centers for Medicare & Medicaid Services (CMS)?

The Midwest Physician Group Ltd has been assigned the NPI (National Provider Identifier) 1639216435. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Midwest Physician Group Ltd located?

The Midwest Physician Group Ltd is located at 10242 S Vincennes Ave, Chicago, IL 6064313010.

What is Midwest Physician Group Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Midwest Physician Group Ltd is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639216435 to Midwest Physician Group Ltd?

The Centers for Medicare & Medicaid Services originally issued the 1639216435 to Midwest Physician Group Ltd on 2007-01-31.

As of what date were the Midwest Physician Group Ltd's details last updated?

The information pertaining to the Midwest Physician Group Ltd, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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