Organization
MIDWEST PEDIATRICS INC
Active
Other names
Midwest Pediatrics Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOUAD AL-QAWASMI M.D. (PEDIATRICS)
(708) 598-4100
Entity
Organization
Contact information
Practice address
7456 S STATE RD, 302, BEDFORD PARK, IL 60638-6623
(708) 598-4100
(708) 598-0123
Mailing address
7456 S STATE RD, 302, BEDFORD PARK, IL 60638-6623
(708) 598-4100
(708) 598-0123
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036093184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093184
—
IL
Enumeration date
05/11/2016
Last updated
05/11/2016
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