Midlick, David George
Midlick, David George is an sole proprietor health care provider with primary practice located at 6686 Double Eagle Dr Unit 103, Woodridge IL 60517-5428. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Cardiovascular-Interventional Technology, which is considered as his primary health care specialty. Midlick, David George can be contacted via phone (630) 663-9811.Contact Information
Primary practice address
6686 Double Eagle Dr Unit 103
Woodridge IL 60517-5428
Phone: (630) 663-9811
Fax: (630) 663-9018
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Cardiovascular-Interventional Technology | 2471C1101X |
Profile Details
NPI number | 1477673275 |
---|---|
LBN Legal business name | Midlick, David George |
Credentials | C.C.T,BA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 29th, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477673275 | NPPES |
Illinois | MEDICAID | 364429849001 | |
Illinois | Other | BLUE CROSS |
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