Organization Active NPI

Midwest Medconnect Inc

  • Multi-Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1720864341
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MIDWEST MEDCONNECT INC
Practice address
7522 N Harlem Ave
Chicago, IL 60631-4400
Phone
(773) 628-7950
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Mohammed Mazharuddin
Title
President
Phone
(773) 628-7950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7522 N Harlem Ave
Chicago, IL 60631-4400

Mailing address

7522 N Harlem Ave
Chicago, IL 60631-4400
Phone (773) 628-7950

Other names 1

  • Midwest Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7522 N Harlem Ave
Chicago, IL 60631
Phone (414) 331-6291

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1720864341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606314400",
            "telephone_number": "773-628-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606314400",
            "telephone_number": "773-628-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDCONNECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "MAZHARUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-628-7950"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

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