MIDWEST MEDICAL SYSTEMS INC NPI 1518064484

NPI Information

NPI: 1518064484
Provider Name: MIDWEST MEDICAL SYSTEMS INC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 14D2007348

Address:
1177 N HIGHLAND AVE
SUITE 201
AURORA, IL
ZIP 60506
Phone: (630) 801-7505
Get Directions

MIDWEST MEDICAL SYSTEMS INC is a rheumatology internal medicine in Aurora, IL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MIDWEST MEDICAL SYSTEMS INC NPI is 1518064484. The provider is registered as an organization entity type.

The provider's business location address is:

1177 N HIGHLAND AVE
SUITE 201
AURORA, IL
ZIP 60506-281
Phone: (630) 801-7505
Fax: (630) 801-7511

The provider's authorized official is Gowhar Khan .
The authorized official title is President and has the following contact phone number (630) 802-8644.

The CLIA number assigned to this NPI record is 14D2007348 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/6/2012.

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
1	261QP2000X	Clinic/Center	Physical Therapy	070-002-882	ILLINOIS	No
2	207Q00000X	Family Medicine		036111540	ILLINOIS	No
3	207R00000X	Internal Medicine		036-087-821	ILLINOIS	No
4	207RR0500X	Internal Medicine	Rheumatology	036-087-821	ILLINOIS	Yes

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
1	036087821	MEDICAID	ILLINOIS
2	F80428	MEDICARE UPIN
3	212792	MEDICARE UPIN

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: 11/14/2023

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