Midapluz Medical Corporation Inc.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

MIDAPLUZ MEDICAL CORPORATION INC.

Practice address

22109 Governors Hwy
Richton Park, IL 60471-1249

Phone

(708) 898-0214

Fax

(708) 898-0218

NPI assigned

Apr 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Joseph A Etukudo

Title

Ceo

Phone

(708) 650-1503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1073757332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22109 GOVERNORS HWY",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711249",
            "telephone_number": "708-898-0214",
            "fax_number": "708-898-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22109 GOVERNORS HWY",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711249",
            "telephone_number": "708-898-0214",
            "fax_number": "708-898-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAPLUZ MEDICAL CORPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "ETUKUDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-650-1503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kaye McClerklin, LCSW
• Jayda McDole
• Elizabeth Eileen McElligott
• Janay McGregory, COSMETOLOGIST
• Mercado Foot and Ankle Clinics
• Midwest Express Care 2, Inc
• Aaron Louis Moore, MT, PT
• Vicki Therese Morris, M.S., CCC-SLP
• Joanne Marie Murray, LCSW
• Jalisa Nailon

• Geriatric Medicine (Family Medicine) Physician in Richton Park, IL
• Providers in Richton Park, IL by specialty
• Geriatric Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.