Midway Clinic Sc

LBN: Midway Clinic Sc
Midway Clinic Sc is an health care organization with primary practice located at 4940 S Cicero Ave , Chicago IL 60638-2116. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Midway Clinic Sc can be contacted via phone (773) 582-6800, or through Dubinskas, Viktoras via phone (773) 582-6800.

Contact Information

Primary practice address
4940 S Cicero Ave Chicago IL 60638-2116
Phone: (773) 582-6800
Fax: (773) 582-1380
Website:
Map and Directions
Authorized official contact:
Name: Dubinskas, Viktoras Doctor of Medicine (MD)
Phone: (773) 582-6800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 036-032688 Illinois

Profile Details

NPI number 1104977446
LBN Legal business name Midway Clinic Sc
DBA Doing business as
Authorized official Dubinskas, Viktoras Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 28th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104977446 NPPES
Illinois MEDICAID 036032688

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