Organization · Type 2 NPI
Midway Clinic SC
Clinic/Center · Chicago, IL
NPI number
1104977446
Active
Practice location
4940 S Cicero Ave
Chicago, IL 60638-2116
Fax (773) 582-1380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 036-032688 (IL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1104977446
Midway Clinic SC's National Provider Identifier is 1104977446, issued on Jan 15, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 28, 2009.