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Organization
MIDWEST PHYSICIAN GROUP LTD
Active
Organization
MIDWEST PHYSICIAN GROUP LTD
Active
Other names
MPC-MEDICINE & SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J NELSON (CEO)
(708) 747-7960
Entity
Organization
Contact information
Practice address
11250 S WESTERN AVE, CHICAGO, IL 60643-4116
(773) 779-7500
(773) 779-9669
Mailing address
20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1030
(708) 747-7960
(708) 503-3993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001616617
BCBS
IL
Enumeration date
01/31/2007
Last updated
09/11/2025
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