Organization
MIDWEST PHYSICIAN GROUP LTD
Active
Parent organization
MIDWEST PHYSICIAN GROUP LTD
Other names
MARITTA A PENEGOR CFNP
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
3800 W 203RD ST, OLYMPIA FIELDS, IL 60461-1184
(708) 747-0461
(708) 747-0607
Mailing address
20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1030
(708) 747-7960
(708) 503-3993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
08/08/2007
Last updated
08/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us