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Organization
MIDWEST MEDICAL INSTITUTE S.C.
Active
Organization
MIDWEST MEDICAL INSTITUTE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASIL NIKA (OWNER)
(815) 209-7050
Entity
Organization
Contact information
Practice address
5251 CRESTDALE DR, ROCKFORD, IL 61114-6413
(815) 209-7050
Mailing address
5251 CRESTDALE DR, ROCKFORD, IL 61114-6413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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