Midwest Diagnostic Management, Llc in Mokena - Exclusive Provider Organization
Midwest Diagnostic Management, Llc - NPI 1003933920
Midwest Diagnostic Management, Llc is a Exclusive Provider Organization in Mokena, Illinois. Midwest Diagnostic Management, Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Midwest Diagnostic Management, Llc is 1003933920. The last update date is 2008-12-10.
Midwest Diagnostic Management, Llc's current location address is 19065 Hickory Creek Pl, Mokena, Illinois. You can contact this provider via phone number 7084786417 and fax number 7085358087. The mailing address for Midwest Diagnostic Management, Llc is 19065 Hickory Creek Pl, Mokena, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Diagnostic Management, Llc |
|---|---|
| Address | 19065 Hickory Creek Pl, Mokena, Illinois |
| Phone Number | 7084786417 |
| Fax Number | 7085358087 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Knipper Jon |
| Telephone Number | 7084786434 |
NPI Number Detail
| NPI Number | 1003933920 |
|---|---|
| Provider Enumeration Date | 2007-03-24 |
| Last Updated Date | 2008-12-10 |
Provider Mailing Address Detail
| Address | 19065 Hickory Creek Pl |
|---|---|
| City | Mokena |
| State | Illinois (IL) |
| Post Code | 604488507 |
| Phone Number | 7084786417 |
| Fax Number | 7085358087 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
|
Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
|
Post Comment/ Review Below
What is the Midwest Diagnostic Management, Llc's unique identification number?
The Midwest Diagnostic Management, Llc has been assigned the NPI (National Provider Identifier) Number 1003933920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Midwest Diagnostic Management, Llc located?
The Midwest Diagnostic Management, Llc is located at 19065 Hickory Creek Pl, Mokena, IL 604488507.
What is the Midwest Diagnostic Management, Llc's specialty and taxonomy code?
The Midwest Diagnostic Management, Llc's specialty is Exclusive Provider Organization, and the corresponding taxonomy code is 302F00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003933920 to Midwest Diagnostic Management, Llc?
The Midwest Diagnostic Management, Llc received its 1003933920 assignment from the Centers for Medicare & Medicaid Services on 2007-03-24.
As of what date were the details related to Midwest Diagnostic Management, Llc most recently updated or revised?
The information pertaining to Midwest Diagnostic Management, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-10.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL