MIDWAY DIAGNOSTIC CENTER LTD NPI 1033159090

NPI Information

  • NPI: 1033159090
  • Provider Name: MIDWAY DIAGNOSTIC CENTER LTD
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • Address: 5261 S CICERO AVE
    CHICAGO, IL
    ZIP 60632
  • Phone: (773) 585-7508

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NPI Details

MIDWAY DIAGNOSTIC CENTER LTD is a legal medicine in Chicago, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. MIDWAY DIAGNOSTIC CENTER LTD NPI is 1033159090. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5261 S CICERO AVE
CHICAGO, IL
ZIP 60632-915
Phone: (773) 585-7508

The provider's authorized official is Bohdan Fedirko .
The authorized official title is President and has the following contact phone number (773) 585-7505.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 11/15/2007.

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
1173000000XLegal MedicineILLINOISYes

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
1209840MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 11/21/2025

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