Provider Type Icon

MIDWEST PHYSICIAN GROUP LTD. NPI 1467405985


NPI Information

NPI: 1467405985
Provider Name: MIDWEST PHYSICIAN GROUP LTD.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
20110 GOVERNORS HWY
SUITE 1
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 747-7960
Get Directions

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 1467405985. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20110 GOVERNORS HWY
SUITE 1
OLYMPIA FIELDS, IL
ZIP 60461-030
Phone: (708) 747-7960
Fax: (708) 503-3993

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

The enumeration date for this NPI number is 5/18/2006 and was last updated on 12/10/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine42005377ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CA7850OTHERILLINOISRAILROAD MEDICARE GROUP
2634814MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3634813MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4CC6202OTHERILLINOISRAILROAD MEDICARE GROUP
5992729MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
6992727MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
7992722MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
8992725MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
9634816MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
10C10237OTHERILLINOISRAILROAD MEDICARE GROUP
11634815MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
12CD4066OTHERILLINOISRAILROAD MEDICARE GROUP
130001616617OTHERILLINOISBLUE SHIELD ID
14634811MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
15CA1946OTHERILLINOISRAILROAD MEDICARE GROUP
16992724MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
17360090MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.