MIDWEST PHYSICIAN GROUP LTD.


Address: 3900 W 203rd St, Olympia Fields, IL 60461-1183
Phone: 7084787437

MIDWEST PHYSICIAN GROUP LTD. (NPI# 1548476971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548476971
Entity Type Organization
Organization Name MIDWEST PHYSICIAN GROUP LTD.
Other Organization Name MIDWEST PHYSICIAN CENTER
Practice Address 3900 W 203rd St
Olympia Fields
IL 60461-1183
Mailing Address 20110 Governors Hwy
Olympia Fields
IL 60461-1030
Practice Telephone 7084787437
Practice Fax Number 7088734568
Mailing Telephone 7087477960
Enumeration Date 2007-05-15
Last Update Date 2007-10-29
Authorized Official Name DEBORAH J NELSON (CEO)
Authorized Official Telephone 7087477960
Is Organization Subpart Y
Parent Organization Name MIDWEST PHYSICIAN GROUP LTD

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0200X Clinic/Center
Specialization: Oncology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Midwest Physician Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467405985 Midwest Physician Group Ltd. Family Medicine 20110 Governors Hwy, Suite 1, Olympia Fields, IL 60461-1030 2006-05-18

Office Location

Street Address 3900 W 203RD ST
City OLYMPIA FIELDS
State IL
Zip Code 60461-1183

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770579922 Krishnan Srinivasan Internal Medicine 3900 W 203rd St, Olympia Fields, IL 60461-1183 2005-09-23
1841543931 Franciscan Health Olympia Fields & Chicago Heights Durable Medical Equipment & Medical Supplies 3900 W 203rd St, Olympia Fields, IL 60461-1183 2012-10-26
1144523994 St James Hospital United States Catholic Conference Family Medicine 3900 W 203rd St, Olympia Fields, IL 60461-1183 2010-12-17
1871802330 Radiation Oncology, Sc Radiology 3900 W 203rd St, Olympia Fields, IL 60461-1183 2010-10-01
1215120928 Masood Ghouse Internal Medicine 3900 W 203rd St, Olympia Fields, IL 60461-1183 2007-08-26
1427185172 Geetha Narasimhan Specialist 3900 W 203rd St, Olympia Fields, IL 60461-1183 2007-02-28
1841256492 Roseanne Krinski Surgery 3900 W 203rd St, Olympia Fields, IL 60461-1183 2006-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609372564 Katherine Gill Haddad Student in an Organized Health Care Education/Training Program 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2018-03-31
1750886610 Kim Minh Dang Student in an Organized Health Care Education/Training Program 20201 South Crawford, Olympia Fields, IL 60461 2018-03-23
1619484110 Alexandra N. Douvas Dentist 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 2018-01-05
1992258438 Krystyne Doty Nurse Practitioner 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 2016-08-02
1205286747 Shirlene Umali Registered Nurse 20201 South Crawford Ave, Olympia Fields, IL 60461 2016-06-15
1386002590 Touch of Wholeness Psychological Services, LLC Psychologist 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 2016-02-02
1063895357 David Dardick Dentist 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 2015-07-04
1811378623 Fins Healthcare Agency Nursing Care 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 2015-06-17
1285048959 Garud Ranga Raj Orthopaedic Surgery 20817 Alexander St, Olympia Fields, IL 60461 2014-06-20
1811316334 Brett Hapeman Emergency Medicine 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2014-04-11
Find all providers in zip 60461

Taxonomy Information

Taxonomy Code 261QX0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407381197 Northwestern Memorial Healthcare Clinic/Center 675 N Saint Clair St, Suite 21-100, Chicago, IL 60611-5975 2017-05-01
1609301753 Robert H. Lurie Comprehensive Cancer Center of Northwestern University Clinic/Center 250 E Superior St, Suite 520, Chicago, IL 60611-2914 2017-04-26
1588016851 Dupage Medical Group Clinic/Center 17495 La Grange Rd, Tinley Park, IL 60487-7581 2016-07-11
1659721983 Monica Anderson Clinic/Center 12004 S Route 59, Plainfield, IL 60585-5108 2016-06-17
1366815250 Windy City Pediatrics Clinic/Center 3000 N Halsted St, Suite 825, Chicago, IL 60657-5188 2015-11-02
1396148011 Rush University Medical Center Clinic/Center 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 2014-10-08
1396019923 Advanced Cancer Research, Ltd Clinic/Center 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 2012-02-29
1205164084 Northwest Suburban Oncology and Hematology Associates S.c Clinic/Center 661 Ridgeview Dr, Mchenry, IL 60050-7012 2009-12-06
1538317458 Andrea Karoff Clinic/Center 901 W Wellington Ave, Chicago, IL 60657-6708 2008-09-04
1023293776 University Hematology Oncology Inc Clinic/Center 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 2007-12-31
Find all providers with the same taxonomy

Competitor

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City OLYMPIA FIELDS
Zip Code 60461

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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