MIDWEST PHYSICIAN GROUP LTD NPI 1972640654

NPI Information

NPI: 1972640654
Provider Name: MIDWEST PHYSICIAN GROUP LTD

Doing Business As: MPC-CARDIOVASCULAR INSTITUTE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3800 W 203RD ST
SUITE 202
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 747-0461
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MIDWEST PHYSICIAN GROUP LTD is a cardiovascular disease internal medicine in Olympia Fields, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MIDWEST PHYSICIAN GROUP LTD NPI is 1972640654. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mpc-cardiovascular Institute.

The provider's business location address is:

3800 W 203RD ST
SUITE 202
OLYMPIA FIELDS, IL
ZIP 60461-184
Phone: (708) 747-0461
Fax: (708) 747-4704

The provider's authorized official is Deborah J Nelson .
The authorized official title is Ceo and has the following contact phone number (708) 747-7960.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001616617	OTHER	ILLINOIS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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