Midwest Physician Group LTD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MIDWEST PHYSICIAN GROUP LTD

Doing business as

MIDWEST PHYSICIAN CENTER OF BOURBONNAIS

Practice address

595 William R Latham Sr Dr
Bourbonnais, IL 60914-2319

Phone

(815) 932-8944

Fax

(815) 932-9159

NPI assigned

Jan 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah J Nelson

Title

Ceo

Phone

(708) 747-7960

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• MIDWEST PHYSICIAN CENTER OF BOURBONNAIS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073650818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20110 GOVERNORS HWY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611030",
            "telephone_number": "708-747-7960",
            "fax_number": "708-503-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 WILLIAM R LATHAM SR DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142319",
            "telephone_number": "815-932-8944",
            "fax_number": "815-932-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICIAN GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-747-7960"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001616617",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST PHYSICIAN CENTER OF BOURBONNAIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Meyers, MOTR/L
• Michelle Hessler
• Michelle M Hessler MSW LCSW LLC
• Elizabeth Anne Middlebrook, SSP
• Midwest Express Care 2 Inc
• Alicia Marie Mikulski, LAT, ATC
• Candice Marie Miles, RVT, RDCS, ARDMS, RT
• Joshua Devereux Miller, MD, PHD
• Kristin Miller, NP
• Laura L Mills, LCPC

• Rheumatology Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.