Midwest Physician Group Ltd in Olympia Fields - Nurse Practitioner
Midwest Physician Group Ltd - NPI 1790976231
Midwest Physician Group Ltd is a Nurse Practitioner in Olympia Fields, Illinois. Midwest Physician Group Ltd practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Midwest Physician Group Ltd is 1790976231. The last update date is 2007-08-09.
Midwest Physician Group Ltd's current location address is 20110 Governors Hwy, Olympia Fields, Illinois. You can contact this provider via phone number 7087477960 and fax number 7085033993. The mailing address for Midwest Physician Group Ltd is 20110 Governors Hwy, Olympia Fields, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Physician Group Ltd |
|---|---|
| Address | 20110 Governors Hwy, Olympia Fields, Illinois |
| Phone Number | 7087477960 |
| Fax Number | 7085033993 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Nelson J Deborah |
| Telephone Number | 7087477960 |
NPI Number Detail
| NPI Number | 1790976231 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | 20110 Governors Hwy |
|---|---|
| City | Olympia Fields |
| State | Illinois (IL) |
| Post Code | 604611030 |
| Phone Number | 7087477960 |
| Fax Number | 7085033993 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Midwest Physician Group Ltd by the Centers for Medicare & Medicaid Services?
The Midwest Physician Group Ltd has been issued the NPI (National Provider Identifier) 1790976231 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Midwest Physician Group Ltd is located?
The Midwest Physician Group Ltd is situated at the following address: 20110 Governors Hwy, Olympia Fields, IL, 604611030.
What is the Midwest Physician Group Ltd's area of specialization and corresponding taxonomy classification?
The Midwest Physician Group Ltd's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790976231 to Midwest Physician Group Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1790976231 to Midwest Physician Group Ltd on 2007-08-08.
As of what date were the details related to Midwest Physician Group Ltd most recently updated or revised?
The information pertaining to Midwest Physician Group Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-09.
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