Organization
MIDWEST MEDICORP, SC
Active
Organization
MIDWEST MEDICORP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI RAFIE-SAFAIE DC (MANAGER)
(773) 229-9600
Entity
Organization
Contact information
Practice address
6524 W ARCHER AVE, CHICAGO, IL 60638-2400
(773) 229-9600
(773) 229-9611
Mailing address
6524 W ARCHER AVE, CHICAGO, IL 60638-2400
(773) 229-9600
(773) 229-9611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036096853
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004709
IL
Other
Enumeration date
10/03/2006
Last updated
08/04/2011
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