Organization
MIDWEST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY WOLF BS (BILLING MANAGER)
(239) 970-2484
Entity
Organization
Contact information
Practice address
2001 MIDWEST RD STE LL22, OAK BROOK, IL 60523-1316
(239) 970-2484
(239) 228-8640
Mailing address
2001 MIDWEST RD STE LL22, OAK BROOK, IL 60523-1316
(239) 970-2484
(239) 228-8640
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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