Organization
MID AMERICA MEDICAL CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM SADEK M.D. (MEDICAL DIRECTOR/OWNER)
(630) 516-0960
Entity
Organization
Contact information
Practice address
639 W NORTH AVE, VILLA PARK, IL 60181-1321
(630) 516-0960
(630) 516-0951
Mailing address
639 W NORTH AVE, VILLA PARK, IL 60181-1321
(630) 516-0960
(630) 516-0951
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036-083248
IL
Other
Enumeration date
06/06/2012
Last updated
06/13/2012
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