Organization
MIDWAY MEDICAL CENTER
Active
Parent organization
MIDWAY MEDICAL CENTER
Other names
Midway Turning Point Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWAY MEDICAL CENTER
Authorized official
EUNICE WALKER (DIRECTOR)
(312) 489-4715
Entity
Organization
Contact information
Practice address
2 W 103RD ST, CHICAGO, IL 60628-2619
(313) 489-4715
Mailing address
PO BOX 212, CRETE, IL 60417-0212
(313) 489-4715
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6676700
—
IL
Enumeration date
10/14/2020
Last updated
10/21/2022
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