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Organization
MIDWAY DIAGNOSTIC CENTER LTD
Active
Organization
MIDWAY DIAGNOSTIC CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOHDAN FEDIRKO (PRESIDENT)
(773) 585-7505
Entity
Organization
Contact information
Practice address
5261 S CICERO AVE, CHICAGO, IL 60632-4915
(773) 585-7508
Mailing address
5261 S CICERO AVE, CHICAGO, IL 60632-4915
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
IL
Other
Enumeration date
06/07/2006
Last updated
11/15/2007
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