Midway EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MIDWAY EMS

Practice address

5155 Torque Rd # B
Loves Park, IL 61111-7144

Phone

(815) 708-7232

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Daniel Kenneth Fazio

Title

Owner/Manager

Phone

(815) 990-9589

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1831668458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 TORQUE RD # B",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611117144",
            "telephone_number": "815-708-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 TORQUE RD # B",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611117144",
            "telephone_number": "815-708-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "815-990-9589"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Wade Mecklenburg, M.D.
• Medical Resource Center LTD
• Dipsa Merchant
• Metro Medical Services Inc
• Scott A Meyers, RPH
• Midwest Medivan, Inc
• Milestone, Inc.
• Milestone, Inc.
• Hannah G Miller, RDN
• Christopher Scott Mills, BS, CSCS, LMT

• Ambulance in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.