Midwest Physician Group Ltd
NPI #1104944214 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1104944214
- Entity Type
- Organization
- Organization Name
- Midwest Physician Group Ltd
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4001 VOLLMER ROAD
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461
- Phone
- (708) 481-8883
Authorized Official
- Name
- DEBORAH J NELSON
- Title
- CEO
- Phone
- (708) 747-7960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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