MIDWEST PHYSICIAN GROUP LTD NPI 1285771972

NPI Information

  • NPI: 1285771972
  • Provider Name: MIDWEST PHYSICIAN GROUP LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MIDWEST PHYSICIAN CENTER OF HOMEWOOD GLENWOOD
  • Address: 4001 VOLLMER RD
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Phone: (708) 481-8883

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NPI Details

MIDWEST PHYSICIAN GROUP LTD is a family medicine in Olympia Fields, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIDWEST PHYSICIAN GROUP LTD NPI is 1285771972. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Midwest Physician Center Of Homewood Glenwood.

The provider's business location address is:

4001 VOLLMER RD
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 481-8883
Fax: (708) 481-2917

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 8/9/2007.

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
1207Q00000XFamily MedicineYes

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
10001616617OTHERILLINOISBCBS
2634816MEDICARE 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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