MIDWEST DIAGNOSTIC INC.


Address: 2600 W Peterson Ave, Chicago, IL 60659-4098
Phone: 7739445775

MIDWEST DIAGNOSTIC INC. (NPI# 1740234384) 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) 1740234384
Entity Type Organization
Organization Name MIDWEST DIAGNOSTIC INC.
Practice Address 2600 W Peterson Ave
Chicago
IL 60659-4098
Practice Telephone 7739445775
Practice Fax Number 7739449779
Mailing Telephone 7739445775
Mailing Fax Number 7739449779
Enumeration Date 2006-05-19
Last Update Date 2020-08-22
Authorized Official Name SYED RIAZUL HASSAN (PRESIDENT/ADMINISTRATOR)
Authorized Official Telephone 7733926888
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 2600 W PETERSON AVE
City CHICAGO
State IL
Zip Code 60659-4098

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043811425 Devon Homecare Physicians Inc. Family Medicine 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 2020-11-03
1932724200 Tatyana Menaker Nurse Practitioner 2958 West Devon Ave, Chicago, IL 60659 2020-06-12
1508410069 Kara Lyn Anderson Counselor 2551 W. Peterson Ave, Chicago, IL 60659 2019-08-01
1568980019 Saba Suleman Counselor 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 2017-09-05
1639695257 Go Diagnostics Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 2017-08-15
1972039568 Trilogy, Inc. Community/Behavioral Health 2551 W Peterson Ave, Chicago, IL 60659 2017-05-03
1689029050 Soulu Voluntary or Charitable 3557 W Peterson Ave #122, Chicago, IL 60659 2016-05-04
1730540550 Michael Wei-tsi Chien Dentist 3425 W Peterson Ave Ste 107, Chicago, IL 60659 2016-03-08
1497129688 Acquaint Homecare LLC Home Health 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 2015-11-25
1083054621 Rebecca Schnell Speech-Language Pathologist 6124 N Saint Louis Ave, Chicago, IL 60659 2013-06-27
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60659

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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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