Midwest Physician Group LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIDWEST PHYSICIAN GROUP LTD

Practice address

1051 Essington Road
Silver Cross Medical Center
Joliet, IL 60931

Phone

(815) 744-4440

NPI assigned

Aug 30, 2007

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDWEST PHYSICIAN GROUP LTDAs reported in NPPES

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

Addresses

Other names 1

• RHEUMATOLOGY, SILVER CROSS MC Other name

Part of

Midwest Phy Ctr Medicin

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corrinne S. Carhoun, O.D.

  • Optometrist
  • Clarendon Hills, IL
  • NPI 1417916974
  NPD (past)
• Bradley Scott Coolidge, M.D.

  • Pulmonary Disease Physician
  • Olympia Fields, IL
  • NPI 1700986460
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1942494174",
    "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",
            "fax_number": "708-503-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON ROAD",
            "address_2": "SILVER CROSS MEDICAL CENTER",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60931",
            "telephone_number": "815-744-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICIAN GROUP LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST PHYSICIAN GROUP LTD",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-09-26",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHEUMATOLOGY, SILVER CROSS MC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Midwest Hand Care, Inc.
• Midwest Hospitalists LLC
• Midwest Neurological Associates LTD.
• Midwest Orthopaedics at Rush LLC
• Midwest Pain Centers LLC
• Midwest Rehabilitation Associates LLC
• Midwest Respiratory, LTD.
• Midwest Surgery and Oncology Consultants LLC
• Ankur Miglani, PHARM D
• George E Miguel, M.D.

• Clinic/Center in Joliet, IL
• Providers in Joliet, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.