Organization · Type 2 NPI

Midwest Physician Group Ltd

Nurse Practitioner · Olympia Fields, IL

NPI number 1790976231 Active

Practice location

3800 W 203rd St
Olympia Fields, IL 60461-1184

Fax (708) 747-0607

Mailing address

20110 Governors Hwy
Olympia Fields, IL 60461-1030

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

15 other providers at this address

About NPI 1790976231

Midwest Physician Group Ltd's National Provider Identifier is 1790976231, issued on Aug 8, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Olympia Fields, IL. The record was last updated on Aug 9, 2007.