| Midwest Pediatrics Inc | |
|
7456 S State Rd 302 Bedford Park IL 60638-6623 | |
| (708) 598-4100 | |
| (708) 598-0123 |
| Full Name | Midwest Pediatrics Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7456 S State Rd, Bedford Park, Illinois |
| Authorized Official Name and Position | Fouad Al-qawasmi (PEDIATRICS) |
| Authorized Official Contact | 7085984100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Pediatrics Inc 7456 S State Rd 302 Bedford Park IL 60638-6623 Ph: (708) 598-4100 | Midwest Pediatrics Inc 7456 S State Rd 302 Bedford Park IL 60638-6623 Ph: (708) 598-4100 |
| NPI Number | 1538515234 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538515234 | NPI | - | NPPES |
| 036093184 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036093184 (Illinois) | Primary |
American Current Care Of Illinois Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 W 65th St, Bedford Park, IL 60638 Phone: 708-924-8000 Fax: 708-924-8008 |