Individual
DR. GINA M. MIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 E BELVIDERE RD, SUITE 200, GRAYSLAKE, IL 60030-2082
(847) 918-1462
(847) 968-4311
Mailing address
PO BOX 745249, LOS ANGELES, CA 90074-5249
(800) 475-3698
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01073411A
IN
2085R0202X
Diagnostic Radiology Physician
036-131270
IL
2085R0202X
Diagnostic Radiology Physician
60516-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
C146988
CA
2085R0202X
Diagnostic Radiology Physician
MD230741
OR
2085R0202X
Diagnostic Radiology Physician
MD433697
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021935800002
—
PA
Enumeration date
04/12/2007
Last updated
07/06/2026
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