| Midapluz Medical Corporation Inc. | |
|
22109 Governors Hwy Richton Park IL 60471-1249 | |
| (708) 898-0214 | |
| (708) 898-0218 |
| Full Name | Midapluz Medical Corporation Inc. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 22109 Governors Hwy, Richton Park, Illinois |
| Authorized Official Name and Position | Joseph A Etukudo (CEO) |
| Authorized Official Contact | 7086501503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midapluz Medical Corporation Inc. 22109 Governors Hwy Richton Park IL 60471-1249 Ph: (708) 898-0214 | Midapluz Medical Corporation Inc. 22109 Governors Hwy Richton Park IL 60471-1249 Ph: (708) 898-0214 |
| NPI Number | 1073757332 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073757332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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