Midway Clinic Sc in Chicago - Clinic/center
Midway Clinic Sc - NPI 1104977446
Midway Clinic Sc is a Clinic/center in Chicago, Illinois. Midway Clinic Sc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Midway Clinic Sc is 1104977446. The last update date is 2009-07-28.
Midway Clinic Sc's current location address is 4940 S Cicero Ave, Chicago, Illinois. You can contact this provider via phone number 7735826800 and fax number 7735821380. The mailing address for Midway Clinic Sc is 4940 S Cicero Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midway Clinic Sc |
|---|---|
| Address | 4940 S Cicero Ave, Chicago, Illinois |
| Phone Number | 7735826800 |
| Fax Number | 7735821380 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Dubinskas Viktoras |
| Credentials | MD |
| Telephone Number | 7735826800 |
NPI Number Detail
| NPI Number | 1104977446 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2009-07-28 |
Provider Mailing Address Detail
| Address | 4940 S Cicero Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606382116 |
| Phone Number | 7735826800 |
| Fax Number | 7735821380 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 036-032688 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36032688 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Midway Clinic Sc by the Centers for Medicare & Medicaid Services?
The Midway Clinic Sc has been assigned the NPI (National Provider Identifier) 1104977446. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Midway Clinic Sc is geographically located?
The Midway Clinic Sc is physically situated at the following location: 4940 S Cicero Ave, Chicago, IL, 606382116.
What is Midway Clinic Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Midway Clinic Sc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
On what date was the 1104977446 assigned to Midway Clinic Sc?
The Midway Clinic Sc was issued its 1104977446 on 2007-01-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Midway Clinic Sc's details last updated?
The information pertaining to the Midway Clinic Sc, including its address, specialty, and other details, was most recently updated on 2009-07-28.