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Organization

MIDWEST PHYSICIAN GROUP LTD.

Active
Parent organization
MIDWEST PHYSICIAN GROUP LTD
Other names
Midwest Physician Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIDWEST PHYSICIAN GROUP LTD
Authorized official
DEBORAH J NELSON (CEO)
(708) 747-7960
Entity
Organization

Contact information

Practice address
3900 W 203RD ST, OLYMPIA FIELDS, IL 60461-1183
(708) 478-7437
(708) 873-4568
Mailing address
20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1030
(708) 747-7960

Taxonomy

Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary

Other

Enumeration date
05/15/2007
Last updated
10/29/2007
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