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Organization

MIDWAY CLINIC SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIKTORAS DUBINSKAS MD (DIRECTOR)
(773) 582-6800
Entity
Organization

Contact information

Practice address
4940 S CICERO AVE, CHICAGO, IL 60638-2116
(773) 582-6800
(773) 582-1380
Mailing address
4940 S CICERO AVE, CHICAGO, IL 60638-2116
(773) 582-6800
(773) 582-1380

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036-032688
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036032688
IL
Enumeration date
01/15/2007
Last updated
07/28/2009
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