Mid North Medical Group S.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MID NORTH MEDICAL GROUP S.C.

Practice address

2740 W Foster Ave
Suite 210
Chicago, IL 60625

Phone

(773) 989-2300

Fax

(773) 989-2307

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Haresh Mukund Muni, M.D

Title

M.D

Phone

(773) 989-2300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1548298565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE #210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-989-2300",
            "fax_number": "773-989-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-989-2300",
            "fax_number": "773-989-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID NORTH MEDICAL GROUP S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MUNI",
        "authorized_official_first_name": "HARESH",
        "authorized_official_middle_name": "MUKUND",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "773-989-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Elizabeth Micua, MD
• Mid America Anesthesia LLC
• Mid America Care Center, LLC
• Mid North Gastroenterologists LTD
• Mid North Gastroenterologists, LTD.
• Mid-America Convalescent Centers, Inc.
• Mid-Care, Inc.
• Mid-City Rehabilitation
• Midamerica Home Physicians, Inc.
• Midcity Spine and Ortho Rehabilitation

• Nephrology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.