Active NPI
Midwest Physician Group LTD.
- Oncology Clinic/Center
- Olympia Fields, IL
National Provider Identifier
1548476971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- Legal business name
- MIDWEST PHYSICIAN GROUP LTD.
- Doing business as
- Midwest Physician Center
- Practice address
- 3900 W 203Rd St
Olympia Fields, IL 60461-1183 - Phone
- (708) 478-7437
- Fax
- (708) 873-4568
- NPI assigned
- May 15, 2007
- Organization subpart
- Yes
- Parent organization
- MIDWEST PHYSICIAN GROUP LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah J Nelson
- Title
- Ceo
- Phone
- (708) 747-7960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinic/Center | 261QX0200X | Primary |
Addresses
Primary practice location
3900 W 203Rd St
Olympia Fields, IL 60461-1183
Mailing address
20110 Governors Hwy
Olympia Fields, IL 60461-1030
Phone (708) 747-7960
Other names 1
- Midwest Physician Center
National Provider Directory
National Provider Directory- Part of
- Par Family Med Ctr
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1548476971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20110 GOVERNORS HWY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611030",
"telephone_number": "708-747-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W 203RD ST",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611183",
"telephone_number": "708-478-7437",
"fax_number": "708-873-4568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST PHYSICIAN GROUP LTD.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST PHYSICIAN GROUP LTD",
"enumeration_date": "2007-05-15",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-747-7960"
},
"taxonomies": [
{
"code": "261QX0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Physician Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.