MIDWAY PEDIATRICS LLC NPI 1215373022

NPI Information

  • NPI: 1215373022
  • Provider Name: MIDWAY PEDIATRICS LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 14D1101418
  • Address: 4254 W 55TH ST
    CHICAGO, IL
    ZIP 60632
  • Phone: (773) 582-5200

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NPI Details

MIDWAY PEDIATRICS LLC is a pediatrics in Chicago, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MIDWAY PEDIATRICS LLC NPI is 1215373022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4254 W 55TH ST
CHICAGO, IL
ZIP 60632-642
Phone: (773) 582-5200

The provider's authorized official is Michelle Rojas .
The authorized official title is President and has the following contact phone number (773) 582-5200.

The CLIA number assigned to this NPI record is 14D1101418 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/20/2013.

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
1208000000XPediatrics036117332ILLINOISYes

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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