Midwest Medical LLC

NPI #1205393972 in Oak Brook, Illinois

Provider Information

NPI Number: 1205393972
Entity Type: Organization
Organization Name: Midwest Medical LLC
Primary Specialty: General Practice
Enumeration Date: Feb 28, 2019
Last Updated: Feb 28, 2019

Practice Location

Address: 2001 MIDWEST RD STE LL22
City: Oak Brook
State: Illinois
ZIP Code: 60523-1316
Phone: (239) 970-2484

Authorized Official

Name: BARRY WOLF, BS
Title: BILLING MANAGER
Phone: (239) 970-2484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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