David George Midlick, C.C.T,BA

Primary specialty

Cardiovascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471C1101X

Practice address

6686 Double Eagle Dr
Unit 103
Woodridge, IL 60517-5428

Phone

(630) 663-9811

Fax

(630) 663-9018

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midlick's Medical Imaging Inc.

  • Diagnostic Ultrasound Physician
  • Woodridge, IL
  • NPI 1023178068
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477673275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6686 DOUBLE EAGLE DR",
            "address_2": "UNIT 103",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175428",
            "telephone_number": "630-663-9811",
            "fax_number": "630-663-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6686 DOUBLE EAGLE DR",
            "address_2": "UNIT 103",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175428",
            "telephone_number": "630-663-9811",
            "fax_number": "630-663-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDLICK",
        "first_name": "DAVID",
        "middle_name": "GEORGE",
        "credential": "C.C.T,BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "02230032",
            "identifier": "BLUE CROSS",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364429849001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro Foot and Ankle Center, P.C.
• Metropolitan Family Services
• Jane Ellen Meulink, RN
• Sheila Meyer
• Alexandra Micek
• Midlick's Medical Imaging Inc.
• Midwest Anesthesia and Pain Specialists SC
• Midwest Optometric Services P C
• Midwest Rehabilitation Services, LTD.
• Lara Milenkovic, PHARMD

• Radiologic Technologist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Radiologic Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.