Midway Physician Group

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

MIDWAY PHYSICIAN GROUP

Practice address

1324 N Sheridan Rd
Waukegan, IL 60085-2161

Phone

(847) 360-4181

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Kenji Oyasu, MD

Title

Medical Director

Phone

(847) 360-4023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174741417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 NORTHWOOD LN",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845044",
            "telephone_number": "847-487-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N SHERIDAN RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852161",
            "telephone_number": "847-360-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OYASU",
        "authorized_official_first_name": "KENJI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-360-4023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Metts
• Daniela Meyer
• Kimberly D Meyer
• MHCS Unincorporated Association
• Midway Emergency Physicians, LLC
• Midwest Family Dental, LLC
• Midwestern Care Solutions, LLC
• Amanda Mikols
• Mila-Marie Kyncl, MD, SC
• Jose A Millan

• General Acute Care Hospital in Waukegan, IL
• Providers in Waukegan, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.