Midway Internal Medicine Sc

NPI #1255402194 in Burbank, Illinois

Provider Information

NPI Number: 1255402194
Entity Type: Organization
Organization Name: Midway Internal Medicine Sc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2006
Last Updated: May 4, 2009

Practice Location

Address: 4901 W 79TH ST
Address 2: SUITE 5
City: Burbank
State: Illinois
ZIP Code: 60459-1554
Phone: (709) 952-4403

Authorized Official

Name: HEMA MATHUR, MD
Title: PRESIDENT
Phone: (708) 952-4403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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