Midwest Physician Group Ltd

NPI #1215074026 in Crestwood, Illinois

Provider Information

NPI Number: 1215074026
Entity Type: Organization
Organization Name: Midwest Physician Group Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: MIDWEST PHYSICIAN GROUP LTD
Primary Specialty: Family Medicine
Enumeration Date: Jan 31, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 13811 CICERO AVE
City: Crestwood
State: Illinois
ZIP Code: 60445-1826
Phone: (708) 597-4477

Authorized Official

Name: DEBORAH J NELSON
Title: CEO
Phone: (708) 747-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Crestwood Associated Medical Center Ltd	Family Medicine	Crestwood	AI Deep Dive

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