Midway Pediatrics LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

MIDWAY PEDIATRICS LLC

Practice address

4254 W 55TH St
Chicago, IL 60632-4642

Phone

(773) 358-2520

Fax

(773) 582-2772

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Michaelle Rojas

Title

Co-Owner

Phone

(773) 582-5200

Specialties & licenses 1

Addresses

Practitioners 1

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

• Courtney Ilundain, APN

  • Pediatric Nurse Practitioner
  • Chicago, IL
  • NPI 1881338705

  Pediatrics

  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1285317859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324642",
            "telephone_number": "773-358-2520",
            "fax_number": "773-582-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324642",
            "telephone_number": "773-358-2520",
            "fax_number": "773-582-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "MICHAELLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "773-582-5200"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midway Health Inc
• Midway Medical
• Midway Medical Center
• Midway Medical Center
• Midway Pediatrics LLC
• Midway Spine and Joint Pain Physicians
• Midway Surgical Services, LLC
• Midway Turning Point Community Center
• Midway Turning Point Community Center
• Midway Turning Point Community Center

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.