Midwest Institute for Wellness LLC

NPI #1295165751 in Deer Park, Illinois

Provider Information

NPI Number: 1295165751
Entity Type: Organization
Organization Name: Midwest Institute for Wellness LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 20, 2013
Last Updated: Nov 20, 2013

Practice Location

Address: 21720 W LONG GROVE RD
Address 2: STE 246
City: Deer Park
State: Illinois
ZIP Code: 60010-3732
Phone: (847) 309-7012

Authorized Official

Name: BINO OOMMEN, M.D.
Title: PHYSICIAN
Phone: (847) 309-7012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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