Midwest Medical Home INC

NPI #1396056503 in Lombard, Illinois

Provider Information

NPI Number: 1396056503
Entity Type: Organization
Organization Name: Midwest Medical Home INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 23, 2010
Last Updated: Jun 23, 2010

Practice Location

Address: 18W511 ROOSEVELT RD
City: Lombard
State: Illinois
ZIP Code: 60148-4184
Phone: (630) 953-4500

Authorized Official

Name: DR. RUKSANA S NAZNEEN, M.D.
Title: PRESIDENT
Phone: (630) 953-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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