# MIDWEST PHYSICIAN GROUP LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MPC OF OLYMPIA FIELDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104944214
- **Authorized official:** DEBORAH J NELSON (CEO)
- **Authorized official phone:** (708) 747-7960

## Contact information

- **Practice address:** 4001 VOLLMER ROAD, OLYMPIA FIELDS, IL 60461
- **Practice address phone:** (708) 481-8883
- **Practice address fax:** (708) 481-2917
- **Mailing address:** 20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1030
- **Mailing address phone:** (708) 481-8883
- **Mailing address fax:** (708) 481-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020