| Midway Internal Medicine Sc | |
|
4901 W 79th St Suite 5 Burbank IL 60459-1554 | |
| (709) 952-4403 | |
| (708) 952-4404 |
| Full Name | Midway Internal Medicine Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4901 W 79th St, Burbank, Illinois |
| Authorized Official Name and Position | Hema Mathur (PRESIDENT) |
| Authorized Official Contact | 7089524403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midway Internal Medicine Sc 4901 W 79th St Suite 5 Burbank IL 60459-1554 Ph: (709) 952-4403 | Midway Internal Medicine Sc 4901 W 79th St Suite 5 Burbank IL 60459-1554 Ph: (709) 952-4403 |
| NPI Number | 1255402194 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255402194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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