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Organization
MIDWAY PEDIATRICS LLC
Active
Organization
MIDWAY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ROJAS M.D. (PRESIDENT)
(773) 582-5200
Entity
Organization
Contact information
Practice address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 582-5200
Mailing address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 582-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036117332
IL
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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