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

Midwest Physician Group Ltd

Organization Nurse Practitioner · NPI 1790976231

Midwest Physician Group Ltd is a Nurse Practitioner in Olympia Fields, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3800 W 203rd St
Olympia Fields, IL 60461-1184
Phone: (708) 747-0461
Fax: (708) 747-0607
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (IL)

Record details

NPI number1790976231
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMidwest Physician Group Ltd
Authorized official Deborah Nelson — Ceo · (708) 747-7960
Other names Maritta A Penegor Cfnp
NPI enumeratedAugust 8, 2007
Last updated in NPPESAugust 9, 2007
Mailing address20110 Governors Hwy, Olympia Fields, IL 60461-1030

Other providers in Olympia Fields