| Mid America Medical Center, Ltd | |
|
639 W North Ave Villa Park IL 60181-1321 | |
| (630) 516-0960 | |
| (630) 516-0951 |
| Full Name | Mid America Medical Center, Ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 639 W North Ave, Villa Park, Illinois |
| Authorized Official Name and Position | Ibrahim Sadek (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 6305160960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid America Medical Center, Ltd 639 W North Ave Villa Park IL 60181-1321 Ph: (630) 516-0960 | Mid America Medical Center, Ltd 639 W North Ave Villa Park IL 60181-1321 Ph: (630) 516-0960 |
| NPI Number | 1407117468 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407117468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036-083248 (Illinois) | Primary |
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