NPIMap

Organization Active NPI

Midway Medical Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1982324075
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIDWAY MEDICAL CENTER
Practice address
2 W 103Rd St Ste a
Chicago, IL 60628-2619
Phone
(312) 489-4715
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Eunice T Walker
Title
Director
Phone
(312) 489-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2 W 103Rd St Ste a
Chicago, IL 60628-2619

Mailing address

PO Box 212
Crete, IL 60417-0212
Phone (773) 251-8043

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eunice@midwaymedicalcenters.com

National Provider Directory

National Provider Directory
Tax ID family
Midway Turning Point Community Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1982324075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604170212",
            "telephone_number": "773-251-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 103RD ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282619",
            "telephone_number": "312-489-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-489-4715"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eunice@midwaymedicalcenters.com",
            "affiliation": "N",
            "address_1": "2 W 103rd St Ste A",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606282619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Aug 30, 2022; 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.