Midlake Medical Corporation
Midlake Medical Corporation is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2930 S Michigan Ave Ste 101Chicago, IL 60616-3484
Phone: (312) 808-1600
Fax: (312) 808-0985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1831231166 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reuben Nichols — President · (312) 808-1600 |
| NPI enumerated | February 13, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2930 South Michigan Avenue, Suite 101, Chicago, IL 60616-3484 |
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