DAVID GEORGE MIDLICK C.C.TBA NPI 1477673275

NPI Information

  • NPI: 1477673275
  • Provider Name: DAVID GEORGE MIDLICK, C.C.T,BA
  • Classification: Radiologic Technologist - 2471C1101X
  • Specialization: Cardiovascular-Interventional Technology
  • Entity Type: Individual
  • Address: 6686 DOUBLE EAGLE DR
    UNIT 103
    WOODRIDGE, IL
    ZIP 60517
  • Phone: (630) 663-9811

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NPI Details

David George Midlick, C.C.T,BA is a cardiovascular-interventional technology radiologic technologist in Woodridge, IL. The provider is a radiologic technologist who specializes in cardiovascular interventional technology. David George Midlick, C.C.T,BA NPI is 1477673275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6686 DOUBLE EAGLE DR
UNIT 103
WOODRIDGE, IL
ZIP 60517-428
Phone: (630) 663-9811
Fax: (630) 663-9018

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/8/2007.

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
12471C1101XRadiologic TechnologistCardiovascular-Interventional TechnologyYes

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
1364429849001MEDICAIDILLINOIS
2BLUE CROSSOTHERILLINOIS02230032
3201811MEDICARE 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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