Midway Medical
Midway Medical is a Multi-Specialty Clinic/Center in Chicago, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
2 W 103rd StChicago, IL 60628-2619
Phone: (773) 597-7698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Methadone Clinic | Taxonomy 261QM2800X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1861964959 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marvin Cok — Staff · (773) 597-7698 |
| NPI enumerated | December 30, 2018 |
| Last updated in NPPES | July 22, 2021 |
| Certification date | July 22, 2021 |
| Mailing address | 2 W 103rd St, Chicago, IL 60628-2619 |
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