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Organization
MIDWAY PEDIATRICS LLC
Active
Organization
MIDWAY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELLE ROJAS (CO-OWNER)
(773) 582-5200
Entity
Organization
Contact information
Practice address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 358-2520
(773) 582-2772
Mailing address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 358-2520
(773) 582-2772
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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