# MIDWEST MEDICORP, SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124112461
- **Authorized official:** DR. ALI RAFIE-SAFAIE DC (MANAGER)
- **Authorized official phone:** (773) 229-9600

## Contact information

- **Practice address:** 6524 W ARCHER AVE, CHICAGO, IL 60638-2400
- **Practice address phone:** (773) 229-9600
- **Practice address fax:** (773) 229-9611
- **Mailing address:** 6524 W ARCHER AVE, CHICAGO, IL 60638-2400
- **Mailing address phone:** (773) 229-9600
- **Mailing address fax:** (773) 229-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | IL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036096853 | IL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004709 | IL | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/04/2011