Midwest Healthcare & Physical Medicine Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036-078688 Issued in IL

Legal business name

MIDWEST HEALTHCARE & PHYSICAL MEDICINE INC

Practice address

2842 Route 34
Oswego, IL 60543-8346

Phone

(630) 554-9323

Fax

(630) 554-9328

NPI assigned

Apr 24, 2014

Last updated

May 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott D Carter

Title

Manager

Phone

(630) 358-6318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara L Worron, D.C.

  • Chiropractor
  • Oswego, IL
  • NPI 1902804255
  Medicare reassignment
• Rosalba Lopez, LMT

  • Massage Therapist
  • Oswego, IL
  • NPI 1467861344
  NPD (past)
• Kelly Taylor, LMT

  • Massage Therapist
  • Oswego, IL
  • NPI 1487063517
  NPD (past)
• Bruce Vanderschaaf, D.C.

  • Orthopedic Chiropractor
  • Oswego, IL
  • NPI 1598846305
  NPD (past)

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1396165718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 ROUTE 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438346",
            "telephone_number": "630-554-9323",
            "fax_number": "630-554-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 ROUTE 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438346",
            "telephone_number": "630-554-9323",
            "fax_number": "630-554-9328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605439040",
            "country_code": "US",
            "telephone_number": "630-554-9323",
            "fax_number": "630-554-9328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST HEALTHCARE & PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-358-6318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-078688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Oswego, IL
• Providers in Oswego, 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 May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.