Midway Clinic SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036-032688 Issued in IL

Legal business name

MIDWAY CLINIC SC

Practice address

4940 S Cicero Ave
Chicago, IL 60638-2116

Phone

(773) 582-6800

Fax

(773) 582-1380

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Viktoras Dubinskas, MD

Title

Director

Phone

(773) 582-6800

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loritz Chavez, M.D.

  • Hospitalist Physician
  • Milwaukee, WI
  • NPI 1801816517
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1104977446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382116",
            "telephone_number": "773-582-6800",
            "fax_number": "773-582-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382116",
            "telephone_number": "773-582-6800",
            "fax_number": "773-582-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "DUBINSKAS",
        "authorized_official_first_name": "VIKTORAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-582-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-032688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036032688",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midsommer Psychotherapy LLC
• Midtown Medical Center
• Midtown Medical Center LLC.
• Midtown Sports & Spine LLC
• Lindsay K Midura, RD
• Midway Cosmetic Institute, LLC
• Midway Diagnostic Center LTD
• Midway Disc and Spine Center
• Midway Family Dental, LLC
• Midway Foot and Ankle PC

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.