# MIDWEST MEDICAL SYSTEMS INC

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

## Provider details

- **NPI number:** 1518064484
- **Authorized official:** DR. GOWHAR KHAN MD (PRESIDENT)
- **Authorized official phone:** (630) 802-8644

## Contact information

- **Practice address:** 1177 N HIGHLAND AVE, SUITE 201, AURORA, IL 60506-2281
- **Practice address phone:** (630) 801-7505
- **Practice address fax:** (630) 801-7511
- **Mailing address:** 2309 BILTER RD, AURORA, IL 60502-8714
- **Mailing address phone:** (630) 428-3600
- **Mailing address fax:** (630) 428-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036111540 | IL | — |
| 207R00000X | Internal Medicine Physician | 036-087-821 | IL | — |
| 207RR0500X | Rheumatology Physician | 036-087-821 | IL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 070-002-882 | IL | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036087821 | — | IL |
