Organization
MIDWEST MEDCONNECT INC
Active
Other names
Midwest Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MAZHARUDDIN (PRESIDENT)
(773) 628-7950
Entity
Organization
Contact information
Practice address
7522 N HARLEM AVE, CHICAGO, IL 60631-4400
(773) 628-7950
Mailing address
7522 N HARLEM AVE, CHICAGO, IL 60631-4400
(773) 628-7950
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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