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Organization

MIDWAY PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAELLE ROJAS (CO-OWNER)
(773) 582-5200
Entity
Organization

Contact information

Practice address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 358-2520
(773) 582-2772
Mailing address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 358-2520
(773) 582-2772

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary

Other

Enumeration date
08/10/2023
Last updated
08/10/2023
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