| Midwest Medical Home Inc | |
|
18w511 Roosevelt Rd Lombard IL 60148-4184 | |
| (630) 953-4500 | |
| (630) 953-4502 |
| Full Name | Midwest Medical Home Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 18w511 Roosevelt Rd, Lombard, Illinois |
| Authorized Official Name and Position | Ruksana S Nazneen (PRESIDENT) |
| Authorized Official Contact | 6309534500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Medical Home Inc 18w511 Roosevelt Rd Lombard IL 60148-4184 Ph: (630) 953-4500 | Midwest Medical Home Inc 18w511 Roosevelt Rd Lombard IL 60148-4184 Ph: (630) 953-4500 |
| NPI Number | 1396056503 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396056503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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