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

Midwest Medical Institute SC

Organization Family Medicine Physician · NPI 1811792419

Midwest Medical Institute SC is a Family Medicine Physician in Rockford, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5251 Crestdale Dr
Rockford, IL 61114-6413
Phone: (815) 209-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1811792419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vasil Nika — Owner · (815) 209-7050
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address5251 Crestdale Dr, Rockford, IL 61114-6413

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