Midwest Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIDWEST MEDICAL LLC

Practice address

2001 Midwest Rd Ste LL22
Oak Brook, IL 60523-1316

Phone

(239) 970-2484

Fax

(239) 228-8640

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Barry Wolf, BS

Title

Billing Manager

Phone

(239) 970-2484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1205393972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MIDWEST RD STE LL22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231316",
            "telephone_number": "239-970-2484",
            "fax_number": "239-228-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MIDWEST RD STE LL22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231316",
            "telephone_number": "239-970-2484",
            "fax_number": "239-228-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "239-970-2484",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Michalewicz
• Joshua Michel
• Midwest Center for Hope & Healing
• Midwest Diabetes & Endocrine Specialty LLC
• Midwest Medical Healthcare Group LTD
• Midwest Medical Services Group LTD
• Midwest Neoped Associates LTD
• Midwest Orthopaedics at Rush, LLC
• Traci L Millar, MS, LCPC
• Lee-Anne J Millas, APN, FNP-C

• General Practice Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.