Midwest Physician Group Ltd.
NPI #1467405985 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1467405985
- Entity Type
- Organization
- Organization Name
- Midwest Physician Group Ltd.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 18, 2006
- Last Updated
- Dec 10, 2007
Practice Location
- Address
- 20110 GOVERNORS HWY
- Address 2
- SUITE 1
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1030
- Phone
- (708) 747-7960
Authorized Official
- Name
- MR. DEBORAH J NELSON
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (708) 747-7960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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