Midwest Physician Center Of Crestwood

LBN: Midwest Physician Group Ltd
Midwest Physician Center Of Crestwood is an health care organization with primary practice located at 13811 Cicero Ave , Crestwood IL 60445-1826. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Midwest Physician Group Ltd can be contacted via phone (708) 597-4477, or through Nelson, Deborah J via phone (708) 747-7960.

Contact Information

Primary practice address
13811 Cicero Ave Crestwood IL 60445-1826
Phone: (708) 597-4477
Fax: (708) 597-4502
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Deborah J
Phone: (708) 747-7960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1215074026
LBN Legal business name Midwest Physician Group Ltd
DBA Doing business as Midwest Physician Center Of Crestwood
Authorized official Nelson, Deborah J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 31st, 2007
Last updated Dec 21st, 2007 - about 17 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 1215074026 NPPES
Illinois Other 0001616617 BCBS

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