Organization Active NPI

Midwest Medical Services Group LTD

  • General Practice Physician
  • Oak Brook, IL
National Provider Identifier
1730640368
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MIDWEST MEDICAL SERVICES GROUP LTD
Practice address
2603 W 22ND St Ste 22
Oak Brook, IL 60523-4637
Phone
(630) 568-5942
NPI assigned
Mar 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Eric Schaid
Title
Ceo
Phone
(630) 568-5942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2603 W 22ND St Ste 22
Oak Brook, IL 60523-4637

Mailing address

2603 W 22ND St Ste 22
Oak Brook, IL 60523-4637
Phone (630) 568-5942

National Provider Directory

National Provider Directory

Locations

2001 Midwest Rd
Ste LL22
Oak Brook, IL 60523
Phone (630) 568-5842

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1730640368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W 22ND ST STE 22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234637",
            "telephone_number": "630-568-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W 22ND ST STE 22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234637",
            "telephone_number": "630-568-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL SERVICES GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHAID",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-568-5942"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.