Midwest Physician Group Ltd
NPI #1790976231 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1790976231
- Entity Type
- Organization
- Organization Name
- Midwest Physician Group Ltd
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MIDWEST PHYSICIAN GROUP LTD
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 8, 2007
- Last Updated
- Aug 9, 2007
Practice Location
- Address
- 3800 W 203RD ST
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1184
- Phone
- (708) 747-0461
Authorized Official
- Name
- DEBORAH J NELSON
- Title
- CEO
- Phone
- (708) 747-7960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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