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Midway Clinic Sc
Clinic/Center in Chicago, Illinois
NPI 1104977446

Midway Clinic Sc is a Clinic/Center based in Chicago, IL. Midway Clinic Sc practices in Chicago, IL. The NPI Number for Midway Clinic Sc is 1104977446 and holds a License No. 036-032688 (Illinois).

The current practice location address for Midway Clinic Sc is 4940 S Cicero Ave, Chicago, IL and can be reached out via phone at 773-582-6800 and via fax at 773-582-1380.

Location: 4940 S Cicero Ave, Chicago, IL, 60638-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104977446
Provider Name
Midway Clinic Sc
Credential
Provider Entity Type
Organization
Address
4940 S Cicero Ave, Chicago, IL, 60638-2116
Phone Number
773-582-6800
Fax Number
773-582-1380
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036032688 05 IL
institution
Provider Business Practice Location Address Details
Address
4940 S Cicero Ave
City
Chicago
State
Illinois
Zip
60638-2116
Phone Number
773-582-6800
Fax Number
773-582-1380
person
Provider Business Mailing Address Details
Address
4940 S Cicero Ave
City
Chicago
State
Illinois
Zip
60638-2116
Phone Number
773-582-6800
Fax Number
773-582-1380
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036-032688 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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