Organization
MIDAPLUZ MEDICAL CORPORATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A ETUKUDO (CEO)
(708) 650-1503
Entity
Organization
Contact information
Practice address
22109 GOVERNORS HWY, RICHTON PARK, IL 60471-1249
(708) 898-0214
(708) 898-0218
Mailing address
22109 GOVERNORS HWY, RICHTON PARK, IL 60471-1249
(708) 898-0214
(708) 898-0218
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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