Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midwest Diagnostic Management, LLC

Organization Exclusive Provider Organization · NPI 1003933920

Midwest Diagnostic Management, LLC is an Exclusive Provider Organization in Mokena, Illinois. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19065 Hickory Creek Pl Ste 240
Mokena, IL 60448-8507
Phone: (708) 478-6417
Fax: (708) 535-8087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1003933920
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Knipper — Chief Operating Officer · (708) 478-6434
NPI enumeratedMarch 24, 2007
Last updated in NPPESDecember 10, 2008
Mailing address19065 Hickory Creek Pl, Suite 240, Mokena, IL 60448-8507

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